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Table 1 Phenotypical and histological characteristics in postpubertal patients with 5α-reductase type 2 deficiency

From: Testicular histological and immunohistochemical aspects in a post-pubertal patient with 5 alpha-reductase type 2 deficiency: case report and review of the literature in a perspective of evaluation of potential fertility of these patients

Patient number

Age (years)

Caryotype

Clinical presentation

TV (ml)/TW (g)*

FSH (IU/L)/(xULN)**

T (ng/ml)

T/DHT ratio***

SRD5A2 sequencing

Histology

Reference (publication year)

1

14

46,XY

Female PA; cryptorchidism

7/NA

20.0/(2.0)

3.6

36

NA

SGA

[22] (1986)

2

16

46,XY

Female

NA

38.3/(5.0)

NA

NA

NA

PST (1%)

[5] (1999)

   

PA; PPH;

     

SCA (14%)

 
   

clitoromegaly

       
   

cryptorchidism§

     

SGA (25%)

 
         

SCO (60%)

 

3

16

46,XY

Female

3/ 15.5

1.0/(0.5)

5.8

29

NA

SCA

[22] (1986)

   

PA; PPH; 4 cm phallus

     

SGA

 
   

cryptorchidism§

     

SCO

 

4

16

46,XY

F emale PA; PPH; 3 cm phallus cryptorchidism

11/ 22

4.5/NA

11.4

34.5

NA

Normal

[22] (1986)

5

16

46,XY

Female PA; cryptorchidism

NA

8.7/(1.0)

9.0

225

NA

SGA

[22] (1986)

6

17

46,XY

Female PA; PPH; 3 cm phallus

3/NA

20/(1.0)

7.2

NA

NA

SCO

[24] (1980)

7

18

46,XY

Female PA; PPH; 3 cm phallus

3/NA

56/(3.1)

6.8

NA

NA

SCO

[24] (1980)

8

18

46,XY

Female PA; PPH; 1.5 cm phallus

15/NA

5.5/(1.1)

10

39

NA

Normal

[19] (1980)

9

18

46,XY

Female PA; PPH; clitoromegaly cryptorchidism§

NA

9.0/(1.3)

NA

NA

NA

PST (10%)

[5] (1999)

         

SCO (90%)

 

10

18

46,XY

Female PA; PPH; clitoromegaly

NA

13.0/(2.0)

NA

NA

NA

PST (4%)

[5] (1999)

         

SCO (96%)

 

11

25

46,XY

Female PA; PPH; 3 cm phallus

NA

NA

11

42

NA

Normal

[23] (1979)

12

35

46,XY

Female PA

8/NA

32.0/(3.2)

6.7

33.5

NA

Normal SCO

[22] (1986)

13

45

46,XY

NA

NA

NA

NA

NA

NA

Normal

[25] (1977)

14

65

46,XY

Male perineal hypospadias; 6 cm phallus cryptorchidism

NA

40/(4.0)

5.9

38

NA

SCO (100%)

[21] (1980)

15

NA

46,XY

NA

NA

NA

NA

NA

NA

Normal

[20] (1982)

Our case

17

46,XY

Female PA; PPH; clitoromegaly cryptorchidism

9/ 8

14.5/(2.0)

7.2

45

Gly115Asp

PST (8%)

present paper

         

SCO (92%)

 
  1. *TV /TW: mean testicular volume in mililiters/ mean testicular weight in grams; **(xULN): ratio between the measured value and the upper limit of normal for the corresponding FSH assay; ***T/DHT ratio: testosterone/dihydrotestosterone ratio; the ratio cutoff for the diagnosis of 5α-reductase type 2 deficiency was set at 10 [3].
  2. PA: primary amenorrhoea; PPH: poseudovaginal perineoscrotal hypospadias; §For these individuals cryptochidism was not specified in the references, but it was suspected, given the female phenotype; NA: not available.
  3. SGA: spermatogenic arrest at the level of spermatogonia; PST: prepubertal seminiferous tubules; SCA: spermatogenic arrest at the level of spermatocytes; SCO: Sertoli cell only; Normal: normal spermatogenesis.