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Correspondence
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Volume 346:628-629 February 21, 2002 Number 8
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Nongenetic Male Pseudohermaphroditism

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To the Editor: Mendonca et al. (Oct. 11 issue)1 conclude that the finding of discordance in growth and genital development in monozygotic twins "convincingly" rules out a genetic cause of male pseudohermaphroditism. There are known genetic mechanisms that could account for the discordance. Fourteen cases of discordance in monozygotic twins have been reported in Beckwith–Wiedemann syndrome.2,3 Alternatively, a nondisjunction or reduplication event at the time of the first cell division could result in uniparental disomy of a chromosome (i.e., both chromosomes are inherited from either the father or the mother). Maternal uniparental disomy of chromosome 7 has been associated with . . . [Full Text of this Article]

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