ANDROGEN INSENSITIVITY SYNDROME

General Information (adopted from Orphanet):

Synonyms, Signs: DHTR DEFICIENCY
ANDROGEN RECEPTOR DEFICIENCY
TESTICULAR FEMINIZATION SYNDROME
DIHYDROTESTOSTERONE RECEPTOR DEFICIENCY
AR DEFICIENCY
TFM
AIS
Number of Symptoms 22
OrphanetNr:
OMIM Id: 300068
ICD-10:
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: X-linked recessive inheritance
[Omim]
Age of onset:

Disease classification (adopted from Orphanet):

Parent Diseases: No data available.

Symptom Information: Sort by abundance 

1
(HPO:0008730) Female external genitalia in individual with 46,XY karyotype 3 / 7739
2
(HPO:0000771) Gynecomastia 53 / 7739
3
(HPO:0008232) Elevated follicle stimulating hormone 8 / 7739
4
(HPO:0000023) Inguinal hernia 181 / 7739
5
(HPO:0002550) Absent facial hair 3 / 7739
6
(HPO:0002215) Sparse axillary hair 21 / 7739
7
(HPO:0002225) Sparse pubic hair 76 / 7739
8
(OMIM) Sertoli cell adenomas 1 / 7739
9
(OMIM) Elevated plasma luteinizing hormone (LH) 1 / 7739
10
(OMIM) Female body habitus 1 / 7739
11
(OMIM) Female body fat distribution 1 / 7739
12
(OMIM) Normal male karyotype (46,XY) 1 / 7739
13
(OMIM) Underdeveloped to normal clitoris 1 / 7739
14
(OMIM) Malignant sex-cord stromal tumor 1 / 7739
15
(OMIM) Tall for females (mean height 171.5cm) 1 / 7739
16
(OMIM) Luxuriant scalp hair 1 / 7739
17
(OMIM) Normal-elevated plasma testosterone (male range) 1 / 7739
18
(OMIM) Elevated plasma estrogen 1 / 7739
19
(OMIM) Blind vagina 1 / 7739
20
(OMIM) Abdominal, inguinal, or labial testes 1 / 7739
21
(MedDRA:10039956) Seminoma 7 / 7739
22
(OMIM) Underdeveloped labia 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) The androgen insensitivity syndrome is an X-linked recessive disorder in which affected males have female external genitalia, female breast development, blind vagina, absent uterus and female adnexa, and abdominal or inguinal testes, despite a normal male 46,XY karyotype. ...
Clinical Description OMIM Patients with androgen insensitivity syndrome often come to medical attention because of a presumed inguinal hernia. Many have absent pubic and axillary hair ('hairless pseudofemale'). The hair of the head is luxuriant, without temporal balding. The phenotype is ...
Genotype-Phenotype Correlations OMIM Boehmer et al. (2001) analyzed the genotype-phenotype relationship in AIS and the occurrence of possible causes of phenotypic variation in families with multiple affected cases. Of 49 index cases with possible AIS identified, 59% had affected relatives. A ...
Molecular genetics OMIM See androgen receptor (AR; 313700).
Population genetics OMIM Mainly using data on the frequency of inguinal hernia in females, Jagiello and Atwell (1962) estimated the frequency of testicular feminization as being about 1 in 65,000 males.

Edwards et al. (1992) demonstrated that the distribution ...

Diagnosis GeneReviews Clinical Diagnosis...
Clinical Description GeneReviews Complete androgen insensitivity syndrome (CAIS, testicular feminization, Tfm). Individuals with CAIS have normal female external genitalia with absence of female internal genitalia. They typically present either before puberty with masses in the inguinal canal that are subsequently identified as testes or at puberty with primary amenorrhea and sparse to absent pubic or axillary hair. Breasts and female adiposity develop normally. Sexual identity and orientation are typically female and heterosexual. ...
Genotype-Phenotype Correlations GeneReviews A correlation does exist among certain missense AR mutations, their functional consequences, and external genital development, particularly in the case of CAIS (see the Androgen Receptor Gene Mutations Database). ...
Differential Diagnosis GeneReviews Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is diagnosed in phenotypic females who exhibit amenorrhea and have a partial or complete absence of the cervix, uterus, and vagina. Individuals with MRKH can be distinguished from those with CAIS by confirmation of a 46,XX karyotype [Sultan et al 2009]....
Management GeneReviews To establish the extent of disease and the needs of an individual diagnosed with androgen insensitivity syndrome, a complete evaluation by specialists in disorders of sex development (DSD), which can include specialists in endocrinology, urology, medical genetics, psychology/psychiatry [Hughes et al 2006, Parisi et al 2007, Douglas et al 2010], is ideal....
Molecular genetics GeneReviews Information in the Molecular Genetics and OMIM tables may differ from that elsewhere in the GeneReview: tables may contain more recent information. —ED....