46,XX gonadal dysgenesis, short stature, and recurrent metabolic acidosis in two sisters

Am J Med Genet. 2001 Jan 15;98(2):121-4. doi: 10.1002/1096-8628(20010115)98:2<121::aid-ajmg1019>3.0.co;2-4.

Abstract

Gonadal (ovarian) dysgenesis in 46,XX individuals is genetically heterogeneous. We report on two sisters who, in addition to primary ovarian failure, have marked short stature and recurrent episodes of dehydration with metabolic acidosis. Studies performed during one of these episodes suggested mitochondrial dysfunction; however, results of biochemical analysis of electron transport chain activity in skeletal muscle and mitochondrial DNA studies were normal. We discuss the phenotype in relation to previously described conditions of 46,XX gonadal dysgenesis. We suggest this constellation of findings represents a new syndrome.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acidosis / complications
  • Acidosis / diagnosis
  • Acidosis / genetics*
  • Adolescent
  • Body Constitution
  • Female
  • Follicle Stimulating Hormone / blood
  • Gonadal Dysgenesis / complications
  • Gonadal Dysgenesis / diagnosis
  • Gonadal Dysgenesis / genetics*
  • Growth Disorders / complications
  • Growth Disorders / diagnosis
  • Growth Disorders / genetics*
  • Humans
  • Luteinizing Hormone / blood
  • Phenotype
  • Primary Ovarian Insufficiency / complications
  • Primary Ovarian Insufficiency / diagnosis
  • Primary Ovarian Insufficiency / genetics*
  • X Chromosome*

Substances

  • Luteinizing Hormone
  • Follicle Stimulating Hormone