Androgen insensitivity syndrome

被引:28
|
作者
Tadokoro-Cuccaro, Rieko [1 ]
Hughes, Ieuan A. [1 ]
机构
[1] Univ Cambridge, Dept Paediat, Addenbrookes Hosp, Cambridge CB2 0QQ, England
关键词
androgen receptor; disorder of sex development; gonadal tumour; mutation; RECEPTOR GENE-MUTATIONS; SEX DEVELOPMENT; BINDING DOMAIN; SYNDROME CAIS; DISORDERS; RISK; DSD; GONADECTOMY; MANAGEMENT; GROWTH;
D O I
10.1097/MED.0000000000000107
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Androgen insensitivity syndrome (AIS) can present with a wide range of phenotypes, and its management requires a multidisciplinary approach from diagnosis in infancy to adulthood. This review provides an update on some clinical and genetic aspects in AIS. Additional outcome data on surgical and psychosexual findings are presented, together with a discussion on the risk of development of gonadal tumours in AIS. Recent findings This review covers clinical features of AIS, including recent trends in sex of rearing, aspects of androgen receptor gene mutations and longer term outcomes in both complete and partial forms of AIS. Summary More follow-up studies are needed to optimize management in AIS, especially in the partial form. Predicting the risk of gonadal tumours is key to determining the timing of gonadectomy or whether to retain the gonads in the long term.
引用
收藏
页码:499 / 503
页数:5
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