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Table 1 Previously reported patients with homozygous DHH mutations – genetic results and clinical findings

From: A novel, homozygous mutation in desert hedgehog (DHH) in a 46, XY patient with dysgenetic testes presenting with primary amenorrhoea: a case report

Patient

DHH mutation

Presenting age, years

Gonads

Müllerian Structures

Neuropathy

1 [11]

Exon 1, c.2 T > C

Initiating codon predicting failure of translation

21

Streak testis and streak gonad

+

+

Age 26 years

2 [12]

Exon 2, c.485 T > C

16

Bilateral streak gonads

+

–

3 [12]

Exon 3, c.1086delG

Causes a stop codon, four codons after the deletion.

19

Bilateral streak gonads with bilateral gonadoblastoma

+

–

4 [12]

Exon 3, c.1086delG

Causes a stop codon, four codons after the deletion.

26

Bilateral streak gonads with bilateral dysgerminoma

+

–

5 [13]

c.271_273delCAG

26

Bilateral streak gonads

Not reported

–

6 [13]

Exon 1, c.57-60dupAGCC

Frameshift mutation resulting in premature termination.

17

Bilateral streak gonads

+

–

7a [14]

Exon 2, c.371G > A

17

Testis (L), Seminoma (R) (age 30 years)

–

+

Early 20s

8a [14]

Exon 2, c.371G > A

17

Bilateral testis with seminoma in situ (R) and gonadoblastoma (age 23 years)

–

+

Age 30 years

9 [15]

c.304-572_492dup

16

Undescended testis in left inguinal canal. Histopathology not reported.

–

+

Age 43 years

Associated skin and nail pigmentation and sole skin hyperkeratosis.

10 [15, 16]

c.304-572_492dup

47

Bilateral streak gonads

+

+

Age 39 years

11b [17]

Exon 2, c.519G > T

26

Histopathology unavailable with laparoscopy declined by patient

–

+

Age 26 years

Psychomotor retardation and dysmorphic features also reported

12b [17]

Exon 2, c.519G > T

23

Histopathology unavailable with laparoscopy declined by patient

Possible residual structure on ultrasound

–

  1. a, bSisters