Mosaic 47,XYY/45,X Presenting With Male Infertility: A Rare Case Report

Wan Norizzati Wan Mohamad Zamri, N. M. Z. Mat Zin, N. A. Mohd Nawi, Aziati Aswari Anuar, Nazihah Mohd Yunus, S. Sulong, Z. Alwi, R. Ankathil
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Abstract

Sex chromosome aneuploidies are the most common chromosome abnormalities associated with infertility in adult men. 47, XYY syndrome also known as Jacob Syndrome (JS) is one sex chromosome aneuploidy. Majority of 47, XYY men show normal spermatogenesis while minority may have varying degrees of impairment in spermatogenesis. This case report discusses about a 32 year old Malay gentleman who was diagnosed to have azoospermia for which cytogenetic analysis revealed an abnormal mosaic 47,XYY/45,X karyotype pattern as the underlying genetic cause. Abnormal mosaic 47,XYY/45,X karyotype associated with infertility is extremely rare in human population and hence reported for its rarity.
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马赛克47,XYY/45,X表现为男性不育症:罕见病例报告
性染色体非整倍体是与成年男性不育症相关的最常见的染色体异常。XYY综合征也被称为雅各布综合征(JS)是一种性染色体非整倍体。47,xyy男性中的大多数显示正常的精子发生,而少数可能有不同程度的精子发生障碍。本病例报告讨论了一位32岁的马来男子,他被诊断为无精子症,细胞遗传学分析显示异常的马赛克47,XYY/45,X核型模式是潜在的遗传原因。与不孕症相关的异常镶嵌47、XYY/45、X核型在人群中极为罕见,因此报道其罕见性。
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