U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

46,XY sex reversal 6(SRXY6)

MedGen UID:
462414
Concept ID:
C3151064
Disease or Syndrome
Synonyms: 46,XY GONADAL DYSGENESIS, PARTIAL OR COMPLETE, MAP3K1-RELATED; 46,XY SEX REVERSAL, PARTIAL OR COMPLETE, MAP3K1-RELATED
 
Gene (location): MAP3K1 (5q11.2)
 
Monarch Initiative: MONDO:0013410
OMIM®: 613762

Authors:
Lauren Mohnach  |  Patricia Y Fechner  |  Catherine E Keegan   view full author information

Clinical features

From HPO
Dysgerminoma
MedGen UID:
41680
Concept ID:
C0013377
Neoplastic Process
The presence of a dysgerminoma, i.e., an undifferentiated germ cell tumor of the ovary.
Gonadoblastoma
MedGen UID:
104912
Concept ID:
C0206661
Neoplastic Process
The presence of a gonadoblastoma, a neoplasm of a gonad that consists of aggregates of germ cells and sex cord elements.
Gonadal dysgenesis
MedGen UID:
9075
Concept ID:
C0018051
Congenital Abnormality
A congenital disorder characterized by the presence of extremely hypoplastic gonads preventing the development of secondary sex characteristics.
Clitoral hypertrophy
MedGen UID:
57848
Concept ID:
C0156394
Finding
Hypertrophy of the clitoris.
Chordee
MedGen UID:
66363
Concept ID:
C0221182
Congenital Abnormality
Ventral, lateral, or ventrolateral bowing of the shaft and glans penis of more than 30 degrees.
Hypospadias
MedGen UID:
163083
Concept ID:
C0848558
Congenital Abnormality
Abnormal position of urethral meatus on the ventral penile shaft (underside) characterized by displacement of the urethral meatus from the tip of the glans penis to the ventral surface of the penis, scrotum, or perineum.
Sex reversal
MedGen UID:
868596
Concept ID:
C4022995
Finding
Development of the reproductive system is inconsistent with the chromosomal sex.
Hirsutism
MedGen UID:
42461
Concept ID:
C0019572
Disease or Syndrome
Abnormally increased hair growth referring to a male pattern of body hair (androgenic hair).
Sparse axillary hair
MedGen UID:
348975
Concept ID:
C1858574
Finding
Reduced number or density of axillary hair.

Professional guidelines

PubMed

Gui B, Song Y, Su Z, Luo FH, Chen L, Wang X, Chen R, Yang Y, Wang J, Zhao X, Fan L, Liu X, Wang Y, Chen S, Gong C
J Med Genet 2019 Oct;56(10):685-692. Epub 2019 Jun 11 doi: 10.1136/jmedgenet-2018-105915. PMID: 31186340
Meau-Petit V, Marcou V, Trivin C, Lortat-Jacob S, McElreavey K, Brauner R
J Pediatr Endocrinol Metab 2005 Jun;18(6):569-75. doi: 10.1515/jpem.2005.18.6.569. PMID: 16042324

Recent clinical studies

Etiology

Chan AO, But WM, Lee CY, Lam YY, Ng KL, Loung PY, Lam A, Cheng CW, Shek CC, Wong WS, Wong KF, Wong MY, Tse WY
Hong Kong Med J 2015 Dec;21(6):499-510. Epub 2015 Oct 16 doi: 10.12809/hkmj144402. PMID: 26492835
Kim GJ, Sock E, Buchberger A, Just W, Denzer F, Hoepffner W, German J, Cole T, Mann J, Seguin JH, Zipf W, Costigan C, Schmiady H, Rostásy M, Kramer M, Kaltenbach S, Rösler B, Georg I, Troppmann E, Teichmann AC, Salfelder A, Widholz SA, Wieacker P, Hiort O, Camerino G, Radi O, Wegner M, Arnold HH, Scherer G
J Med Genet 2015 Apr;52(4):240-7. Epub 2015 Jan 20 doi: 10.1136/jmedgenet-2014-102864. PMID: 25604083
Geckinli BB, Toksoy G, Sayar C, Soylemez MA, Yesil G, Aydın H, Karaman A, Devranoglu B
Eur J Obstet Gynecol Reprod Biol 2014 Nov;182:211-5. Epub 2014 Sep 28 doi: 10.1016/j.ejogrb.2014.09.033. PMID: 25445102
Paliwal P, Sharma A, Birla S, Kriplani A, Khadgawat R, Sharma A
Mol Hum Reprod 2011 Jun;17(6):372-8. Epub 2011 Jan 17 doi: 10.1093/molehr/gar002. PMID: 21242195
Lim HN, Berkovitz GD, Hughes IA, Hawkins JR
Hum Genet 2000 Dec;107(6):650-2. Epub 2000 Nov 14 doi: 10.1007/s004390000428. PMID: 11153920

Diagnosis

Antwi P, Hong CS, Duran D, Jin SC, Dong W, DiLuna M, Kahle KT
Cold Spring Harb Mol Case Stud 2018 Jun;4(3) Epub 2018 Jun 1 doi: 10.1101/mcs.a002766. PMID: 29695406Free PMC Article
Orekhova AS, Kalinchenko N, Morozov IA, Vasilyev EV, Rubtsov PM, Dedov II, Tiulpakov A
Horm Res Paediatr 2018;89(6):450-454. Epub 2017 Nov 17 doi: 10.1159/000481776. PMID: 29151085
Saranya B, Bhavani G, Arumugam B, Jayashankar M, Santhiya ST
J Genet 2016 Dec;95(4):911-921. doi: 10.1007/s12041-016-0716-0. PMID: 27994190
Paliwal P, Sharma A, Birla S, Kriplani A, Khadgawat R, Sharma A
Mol Hum Reprod 2011 Jun;17(6):372-8. Epub 2011 Jan 17 doi: 10.1093/molehr/gar002. PMID: 21242195
Tajima T, Sasaki S, Tanaka Y, Kusunoki H, Nagashima T, Nonomura K, Fujieda K
Horm Res 2003;60(6):302-5. doi: 10.1159/000074249. PMID: 14646409

Therapy

Gaspari L, Paris F, Philibert P, Audran F, Orsini M, Servant N, Maïmoun L, Kalfa N, Sultan C
Eur J Endocrinol 2011 Oct;165(4):579-87. Epub 2011 Jul 25 doi: 10.1530/EJE-11-0580. PMID: 21788424
Kim MR, Qazi QH, Anderson VM, Valencia GB
Am J Obstet Gynecol 1995 Mar;172(3):1042-3. doi: 10.1016/0002-9378(95)90042-x. PMID: 7892846

Prognosis

Känsäkoski J, Jääskeläinen J, Jääskeläinen T, Tommiska J, Saarinen L, Lehtonen R, Hautaniemi S, Frilander MJ, Palvimo JJ, Toppari J, Raivio T
Sci Rep 2016 Sep 9;6:32819. doi: 10.1038/srep32819. PMID: 27609317Free PMC Article
Das DK, Sanghavi D, Gawde H, Idicula-Thomas S, Vasudevan L
Eur J Med Genet 2011 Nov-Dec;54(6):e529-34. Epub 2011 Jul 23 doi: 10.1016/j.ejmg.2011.04.010. PMID: 21816240

Clinical prediction guides

Orekhova AS, Kalinchenko N, Morozov IA, Vasilyev EV, Rubtsov PM, Dedov II, Tiulpakov A
Horm Res Paediatr 2018;89(6):450-454. Epub 2017 Nov 17 doi: 10.1159/000481776. PMID: 29151085
Saranya B, Bhavani G, Arumugam B, Jayashankar M, Santhiya ST
J Genet 2016 Dec;95(4):911-921. doi: 10.1007/s12041-016-0716-0. PMID: 27994190
Joshi R, Das D, Tamhankar P, Shaikh S
Indian Pediatr 2014 May;51(5):399-400. PMID: 24953586
Das DK, Sanghavi D, Gawde H, Idicula-Thomas S, Vasudevan L
Eur J Med Genet 2011 Nov-Dec;54(6):e529-34. Epub 2011 Jul 23 doi: 10.1016/j.ejmg.2011.04.010. PMID: 21816240
McDonald MT, Flejter W, Sheldon S, Putzi MJ, Gorski JL
Am J Med Genet 1997 Dec 19;73(3):321-6. PMID: 9415692

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...