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Table 2 Hormonal levels and family history of 25 patients with familial DSD

From: Familial forms of disorders of sex development may be common if infertility is considered a comorbidity

Case

Age at assays

Testosterone (ng/ml)

LH basal (IU/L)

FSH basal (IU/L)

INHIBIN B (pg/mL)

AMH (pmol/L)

Parent (family history)

  

Before hCG

After hCG

 

1

1 d

2.7

 

0.7b

<0.4b

178b

2348b

mother (premature menopause (27 years) in sister of his mother)

2

7 d

0.3

 

1.5

<0.4

186

794

mother (DSD in brother, sister and nephew)

3

3 d

0.2

 

<0.4

<0.4

>400

>600

mother (brother of case 2)

4

3 d

4

5.5

0.8b

1.3b

ND

614b

father (secondary infertility)

5a

3 d

0.1

 

0.1

0.4

<3

<1

father (infertility in 2 female cousins)

6

4 d

<0.07

<0.07

3.3

11

<10b

1b

father (premature menopause (38 years) in cousin)

7a

14 d

0.1

0.25

0.2

3.9

ND

 

mother (DSD in one nephew, congenital heart disease; brother with micropenis and cryptorchidism)

8a

23 d

0.2

0.9

0.3

1.8

 

78b

mother (premature menopause (28 years)

9

0.1 y

2

 

3.6

2.2

272

955

mother (hypospadias in each son of her 2 sisters)

10

0.1 y

2.1

 

3.2

2.4

176

630

father (cryptorchidism)

11

0.1 y

0.1

 

4.6

0.92

179

865

mother (brother of cases 2 and 3)

12

0.3 y

1.2

 

0.9

1

590

1674

father (hypospadias)

13

0.4 y

1

 

2.4

0.7

347

1129

mother (brother DSD, nephew hypospadias) father (unilateral cryptorchidism and 2 meatus urinarus in brothers)

14

5 y

  

0.7

1

14

1136

brother (hypospadias)

15

0.8 y

0.02

 

<0.4

0.6

175

1042

father (cryptorchidism)

16

0.8 y

<0.05

 

<0.4

<0.4

253

1245

mother (half brother of case 24)

17a

1.5 y

<0.05

<0.05

1.7

45

ND

 

mother (DSD in uncle)

18

1.8 y

  

<0.4

<0.4

94

485

father (hypospadias in brother)

19

3 y

<0.07

 

<0.2

0.47

77

1086

father (hypospadias in brother)

20

3.5 y

<0.07

3.3

 

ND

  

father (infertility in one sister and in paternal grandmother)

21

3.9 y

   

0.6

97

593

father (unilateral cryptorchidism as in cousin)

22

7.6 y

   

ND

44

719

brother (hypospadias)

23

10 y

1.1

1.6

<0.2

1.5

ND

37

brother (left cryptorchidism)

24

13.6 y

1.2

 

0.9

0.5

217

64

mother (half brother of case 16)

25

15 y

10.3

 

4.6

4.3

157

165

mother (uncle of cases 2, 3, 11)

  1. aGenetic mutations (reference): case 5 SRY p.W98 C; case 7 GATA4 p.Gly221Arg (9); case 8 NR5A1 c.390delG (8); case 17 FOF2/ZFPM 2p.S402R (10)
  2. Consanguinity reported in case 23
  3. Cases 2,3,11 are brothers and case 25 is their maternal uncle. Cases 16 and 24 has the same mother (see pedigree)
  4. bAge at assays similar except case 1 at 1.2 y, case 4 at 9 y, case 6 at 10 y, case 8 at 8.5 y