09-05-2007, 08:16 PM
A 16 year old girl is evulated because she has not yet has a menstrual period. She is 147 cm and weight 42kg, breast stage is Tanner stage 1 of 5 and pubic hair growth is Tanner stage 2 of 5. resp. she has a low hairline, short 4th metacarpals bilaterally and multiple pig mented nevi. A cervic is seen on pelvic examination. Lab show high FSH, serum TSH and prolactin are within reference ranges. Which of the followingis the most likely diagnosis?
a. androgen insensitivity syndrome
b. gonadal dysgenesis 45 X
c. Gonadotropin secreting pituitary tumor
d. Isolated gonadotropin deficiency
e. Paramesonephric mullerian aplasia
a. androgen insensitivity syndrome
b. gonadal dysgenesis 45 X
c. Gonadotropin secreting pituitary tumor
d. Isolated gonadotropin deficiency
e. Paramesonephric mullerian aplasia