### Baby born with both male and female genitalia. Is this possible ??? Or is this just a photoshopped image ???
photo shop
Klinefelters syndrome (xxy) chromosome male baby with extra X chromosome
This is photo shopped picture. It is possible but life span is very short.
This case seems to be photo shopped
Yes, but in this picture perineum is distorted - central line not maintained. Please go through the below link https://www.google.com/url?sa=t&source=web&rct=j&url=https://m.youtube.com/watch%3Fv%3DFCME0UH8QZE&ved=2ahUKEwjXz9bbp8fbAhVGqo8KHcCmDtYQjjgwEnoECAEQAQ&usg=AOvVaw13CzEPWgNUJRz25-HfiHUG
Yes, this is possible. In case of hermaphroditism(intersex or ambiguous external genitalia) such development is possible--either both the sexes combined or separate.
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Photoshopped image
Its photoshoped picture
Possible. klynfelters syndrome.chromosomal anamily.
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DISORDERS OF SEX DEVELOPMENT ( DSD ) Sex determination occurs in embryo,with female phenotype being default setting . Male genitilia require testosterone to develop.sex determining gene ( SRY )on Y chromosome is responsible for development of testis., which in turn secretes AMH , causing regression of paramesonephric ducts.If any of this process fails,rrsulting offspring may be genetically male ,but phenotypically female. CAUSES OF DSD CLASSIFIED ACCORDING TO KARYOTYPE. 46XX KARYOTYPE. 1. Virilizing forms of CAH. 2. Ovo - testicular DSD. //True hermaphroditism. 3. Maternal virilizing conditions. 4. Placental aromatase deficiency. 46,XY,KARYOTYPE. 1. Androgen insensitivity syndrome.( AIS ). 2. Defects 8testosterone biosynthesis. 5 - alpha reductase deficiency. 17 B - hydroxy steroid deficiency. 3. Swyer syndrome 4. Partial gonadal dysgenesis secondary to single gene mutations. 5. Leading cell hypoplasia. ABNORMAL KARYOTYPE. 1. 45,XO Turner syndrome. 2. XO / XY mixed gonadal dysgenesis. DSD is not synonymous with ambiguous genitilia. AIS,swyer syndrome and Turner syndrome present with primary amenorrhea. INVESTIGATION. Full assessment of the infant to look for evidence of life threatening salt loosing crisis ( adrenal insufficiency ) includinghypovolemia,hypoglycaemia and hyperpigmentation. Look for features of Turner syndrome or other congenital anomalies. Inspect genitilia carefully looking for position of orifices. Urgent S -17 hydroxy progesterone ( raised in CAH ) 24 hour urine collection for steroid analysis. Karyotyping with urgent FISH for fragments of Y chromosome. Ultrasound to locate gonads and presence of uterus. CORRECTIVE SURGERY. Surgical correction of external genitilia. The need for gonadectomy due to risk of malignancy especially for patients with gonadal dysgenesis or the presence of Y fragment. In AIS,it is advised to delay gonadectomy till puberty as malignancy risk is much lower.
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