摘要

Objective: To conduct clinicopathologic and cytogenomic diagnostics of an infertile male with a karyotype of 45,X.
Design: Case report.
Setting: Research laboratory at a university hospital.
Patient(s): A male with a karyotype of 45,X was diagnosed because of infertility, and his parents also were examined.
Intervention(s): None.
Main Outcome Measure(s): Cytogenomics studies were performed by multiple polymerase chain reaction and fluorescent in situ hybridization.
Result(s): Testicular pathology results showed Sertoli cell-only syndrome, and the SC nodule tissue was diagnosed as angiolipomata. Thus, the patient's karyotype was reinterpreted to be 45,X,der(Y)t(Y;13)(q11.2;q12),-13. ish der(Y)(SRY+, DYZ3+, wcp13+). Analysis of DNA polymorphism showed that the chromosome X was of maternal origin.
Conclusion(s): This is the first case reported with a 45,X,der(Y)t(Y;13)(q11.1;q12),-13, which will be useful for the infertility phenotype-molecular karyotype correlation. (Fertil Steril (R) 2007;88:1676.e7-11.

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