Androgen Insensitivity Syndrome – A Case Report

Androgen Insensitivity Syndrome

Authors

  • Bangal V.B.
  • Gavhane S.P
  • Gupta K
  • Gangapurwala S

Keywords:

Androgen insensitivity syndrome, Testicular feminization syndrome, Primary amenorrhoea

Abstract

Androgen insensitivity syndrome (AIS), formerly known as testicular feminization, is an X-linked recessive condition resulting in a failure of normal masculinisation of the external genitalia in chromosomally male individuals. It affects 2 to 5 per 100,000 people who are genetically male. A case of Androgen insensitivity syndrome is reported in a 20 year-old married woman, who presented with a history of primary amenorrhea. Her karyotype report revealed a male karyotype (46XY). Transvaginal sonography revealed absence of cervix, uterus and ovaries. Ultrasound of abdomen pelvis reported – bilateral inguinal testes. Bilateral inguinal gonadectomy was done. Histopathology of the gonads revealed seminiferous tubules lined by germ cells exhibiting various stages of normal spermatogenesis. She was treated with hormonal replacement therapy. 

References

1. Hughes IA, Deeb A."Androgen resistance". Best Pract. Res. Clin. Endocrinol. Metab. 2006; 20(4):577–98.
2. Ahmed SF, Cheng A, Hughes IA (April 1999)." Assessment of the gonadotrophin- gonadal axis in androgen insensitivity syndrome". Arch. Dis. Child. 80 (4): 324–9.
3. Köhler B, Lumbroso S, Leger J, Audran F, Grau ES, Kurtz F, Pinto G, Salerno M, Semitcheva T, Czernichow P, Sultan C (January 2005). "Androgen insensitivity syndrome: somatic mosaicism of the androgen receptor in seven families and consequences for sex assignment and genetic counseling". J. Clin. Endocrinol. Metab. 90 (1): 106–11
4. Bouvattier C, Mignot B, Lefèvre H, Morel Y, Bougnères P (September 2006). "Impaired sexual activity in male adults with partial androgen insensitivity". J. Clin. Endocrinol. Metab. 91 (9): 3310–5.
5. Puberty –Normal and Abnormal, In :Dutta DC .Textbbok of Gynaecology .6th ed. New Delhi. Jaypee Brothers. 2013; 49-56
6. Galani A, Kitsiou-Tzeli S, Sofokleous C, Kanavakis E, Kalpini-Mavrou A ."Androgen insensitivity syndrome: clinical features and molecular defects". Hormones (Athens) 2008;7(3):217–29.
7. Quigley CA, De Bellis A, Marschke KB, el-Awady MK, Wilson EM, French FS. "Androgen receptor defects: historical, clinical, andmolecular perspectives" .Endocr. Rev.1995;16 (3):271–321.
8. Giwercman YL, Nordenskjöld A, Ritzén EM, Nilsson KO, Ivarsson SA,Grandell U, Wedell A "An androgen receptor gene mutation (E653K) in a family with congenital adrenal hyperplasia due to steroid 21-hydroxylase deficiency as well as in partial androgen insensitivity". J. Clin Endocrinol. Metab. 2002;87(6):2623–8.
9. Amenorrhoea, In : Dutta DC. Textbbok of Gynaecology .6th ed. New Delhi. Jaypee Brothers. 2013;449-474

Downloads

Published

2014-02-28

How to Cite

V.B., B., S.P, G., K, G., & S, G. (2014). Androgen Insensitivity Syndrome – A Case Report: Androgen Insensitivity Syndrome. National Journal of Integrated Research in Medicine, 5(1), 108–111. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/681

Issue

Section

Case Report