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Human Reproduction, Vol. 14, No. 5, 1207-1212, May 1999
© 1999 European Society of Human Reproduction and Embryology

Investigation of a unique male and female sibship with Kallmann's syndrome and 46,XX gonadal dysgenesis with short stature

Jeffrey W. Persson1,2,6, Karen Humphrey3, Cathy Watson3, Peter Taylor4, Don Leigh4, Brian McDonald4 and Ian S. Fraser5

1 Sydney IVF, 4 O'Connell St, Sydney, NSW, 2000, 2 Royal Prince Alfred Hospital, Camperdown, NSW, 2050, 3 School of Biological Sciences Macquarie University, North Ryde, NSW, 2109, 4 Department of Molecular Genetics, Royal South Sydney Hospital, Zetland, NSW, 2107 and 5 Department of Obstetrics and Gynaecology, University of Sydney, NSW, 2006, Australia

A sibship is described where the brother and a sister both have Kallmann's syndrome (anosmia and deficiency of gonadotrophin releasing hormone) and the woman also has streak ovaries. Although there are several conditions that may occur with Kallmann's syndrome, there are no known reports of ovarian dysgenesis being associated with this disorder. Cytogenetic analysis showed no rearrangement or major deletions of the chromosomes. Linkage analysis using informative microsatellite markers predicts that a gene other than KAL1 (at Xp22.3) is implicated in the Kallmann's syndrome manifesting concurrently with ovarian dysgenesis found in this family.

Key words: anosmia/gonadal dysgenesis/hypogonadotrophic hypogonadism/Kallmann's syndrome/streak ovaries

6 To whom correspondence should be addressed at: Sydney IVF, 4 O'Connell St, Sydney, NSW, 2000, Australia


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