Clinical Report: Unusual Neonatal Presentation of 48,XXYY
Overview
This case report details a rare neonatal presentation of 48,XXYY syndrome characterized by ambiguous genitalia and Tetralogy of Fallot, emphasizing the critical role of early genetic testing in improving outcomes for newborns with these conditions.
Background
48,XXYY syndrome is a rare sex chromosome aneuploidy with an estimated prevalence of 1 in 18,000 to 1 in 50,000 live male births. It is recognized as a distinct condition with a broader clinical profile than previously thought, including developmental and endocrine issues that require early intervention.
Data Highlights
No numerical data available in the article.
Key Findings
The infant presented with ambiguous genitalia, including bilateral inguinal testes and a micropenis. Tetralogy of Fallot was diagnosed, which is an uncommon cardiac defect in 48,XXYY syndrome. Normal gonadotropin and adrenal hormone levels were observed for the infant's age. Pelvic ultrasonography confirmed the presence of bilateral testes without Müllerian structures. This case expands the known clinical spectrum of 48,XXYY syndrome. Early genetic and cardiac evaluations are essential for newborns with ambiguous genitalia.
Clinical Implications
Healthcare providers should maintain a low threshold for genetic evaluation in newborns with ambiguous genitalia or congenital heart defects. Multidisciplinary management involving pediatric endocrinology, cardiology, urology, and genetics is recommended for optimal care, with each specialty addressing specific aspects of the patient's needs.
Conclusion
This case highlights the rare combination of ambiguous genitalia and Tetralogy of Fallot in a neonate with 48,XXYY syndrome, emphasizing the importance of early genetic assessment and interdisciplinary care, and its implications for future cases.
