Complete androgen insensitivity syndrome

Sindrom potpune neosjetljivosti na anđrogene otkriva se u djevojčica adolescentne dobi s izostankom menarhe ili djevojčica mlađe dobi s ingvinalnom hernijom. Ginekološki nalaz otkriva izostanak razvoja struktura koje nastaju od Miillerovih kanala (maternice, jajovoda i gornjega dijela vagine). Fenotipski to su djevojčice, ali s muškim spolnim komplementom (46,XY). Klasični se kariogram nadopunjuje probom FISFI SRY. Gen SRY kod tih je djevojčica posve normalne funkcije te one imaju normalno razvijene testise koji su smješteni intraabdominalno ili ingvinalno. Sindrom je posljedica mutacije gena za receptor androgena koja se nasljeđuje X-vezano recesivno i potvrđuje molekulamo-genetičkom analizom. Iako se radi o potpuno zdravim osobama, njihova dijagnoza ima psihosocijalne posljedice koje zahtijevaju multidisciplinami pristup.Complete Androgen Insensitivity Syndrome is found in adolescent girls with the absence of menarche or in younger girls with inguinal hernia. The absence of structures that develop from Müllerian ducts (uterus, oviducts and upper part of vagina) was found during gynecological examination. Phenotypically they are female, but with a male genotype (46, XY). Classical karyogram is supplemented with FISH SRY probe. SRY gene functions normally in these girls, so that they have normal male gonads situated intraabdominally or inguinally. Syndrome is caused by the mutation of androgen receptor that is inherited X-linked recessively and confirmed by molecular genetic analysis. Although they are completely healthy persons, their diagnosis has psychosocial consequences that require a multi-disciplinary approach