Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients
Background: Primary amenorrhea (PA) is a symptom that can be caused by different disorders such as gonadal, endocrinal, physiological and genetic disorders. Aim of study: This study provided the clinical and cytogenetic profiles of Indonesian primary amenorrhea patients and introduced clinical cri...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Diponegoro University
2018-07-01
|
Series: | Journal of Biomedicine and Translational Research |
Subjects: | |
Online Access: | https://ejournal2.undip.ac.id/index.php/jbtr/article/view/2546 |
id |
doaj-049c0711cb944e70b3b0cdf42df56db9 |
---|---|
record_format |
Article |
spelling |
doaj-049c0711cb944e70b3b0cdf42df56db92020-11-25T00:37:28ZengDiponegoro UniversityJournal of Biomedicine and Translational Research2503-21782018-07-0141222710.14710/jbtr.v4i1.25461627Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian PatientsAisha Balkhar Ali0Rita Indriyati1Tri Indah Winarni2Sultana MH Faradz3Diponegoro UniversityFaculty of Medicine Diponegoro UniversityFaculty of Medicine Diponegoro UniversityFaculty of Medicine Diponegoro UniversityBackground: Primary amenorrhea (PA) is a symptom that can be caused by different disorders such as gonadal, endocrinal, physiological and genetic disorders. Aim of study: This study provided the clinical and cytogenetic profiles of Indonesian primary amenorrhea patients and introduced clinical criteria of those patients with their karyotype results using score system. Methods: A retrospective descriptive study of 79 PA patients, whom referred to Cytogenetic and Molecular unit Center for Biomedical Research (CEBIOR), Faculty of Medicine Diponegoro University. We made a scoring system consisted of 4 scores, all patients had been distributed to match the scores according to their clinical criterias and then confirmed with the karyotype results. Results: The karyotype results of 79 patients of PA revealed 55 (69.6%) patients with female karyotype 46,XX; 6 (7.6%) patients with male karyotype 46,XY; 8(10.1%) patients with monosomy X; 3 (3.8%) patients with 45,X/46,XX; 3 (3.8%) patients with Isochromosome 45 X/46, X,i(Xq). Mosaicism with Y constitution 45,X/46,XY was seen in 2 (2.5%) patients; marker chromosome 45,X/46,X+mar (2%) in 1 patient (1.3%); and chromosome 1 and X translocation 46,XX,t(1;X)(p34;q25) detected in 1(1.3%) patient. Scoring system results showed that all patients with normal karyotype (46,XX/46,XY) were matched with score 1 and 2 while 17 patients with chromosomal abnormalities were matched with score 3 and 4, only 1 patient with mosaic Turner syndrome 45,X(10%)/46,XX(90%) matched score 1. Conclusion: Turner syndrome was the most common cause of primary amenorrhea which attests the importance of cytogenetic analysis for diagnosis of primary amenorrhea patients. The scoring system needs further validated for measuring reliability and validity.https://ejournal2.undip.ac.id/index.php/jbtr/article/view/2546primary amenorrheakaryotypeclinical phenotypescore system |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aisha Balkhar Ali Rita Indriyati Tri Indah Winarni Sultana MH Faradz |
spellingShingle |
Aisha Balkhar Ali Rita Indriyati Tri Indah Winarni Sultana MH Faradz Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients Journal of Biomedicine and Translational Research primary amenorrhea karyotype clinical phenotype score system |
author_facet |
Aisha Balkhar Ali Rita Indriyati Tri Indah Winarni Sultana MH Faradz |
author_sort |
Aisha Balkhar Ali |
title |
Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients |
title_short |
Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients |
title_full |
Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients |
title_fullStr |
Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients |
title_full_unstemmed |
Cytogenetic Analysis and Clinical Phenotype of Primary Amenorrhea in Indonesian Patients |
title_sort |
cytogenetic analysis and clinical phenotype of primary amenorrhea in indonesian patients |
publisher |
Diponegoro University |
series |
Journal of Biomedicine and Translational Research |
issn |
2503-2178 |
publishDate |
2018-07-01 |
description |
Background: Primary amenorrhea (PA) is a symptom that can be caused by different disorders such as gonadal, endocrinal, physiological and genetic disorders.
Aim of study: This study provided the clinical and cytogenetic profiles of Indonesian primary amenorrhea patients and introduced clinical criteria of those patients with their karyotype results using score system.
Methods: A retrospective descriptive study of 79 PA patients, whom referred to Cytogenetic and Molecular unit Center for Biomedical Research (CEBIOR), Faculty of Medicine Diponegoro University. We made a scoring system consisted of 4 scores, all patients had been distributed to match the scores according to their clinical criterias and then confirmed with the karyotype results.
Results: The karyotype results of 79 patients of PA revealed 55 (69.6%) patients with female karyotype 46,XX; 6 (7.6%) patients with male karyotype 46,XY; 8(10.1%) patients with monosomy X; 3 (3.8%) patients with 45,X/46,XX; 3 (3.8%) patients with Isochromosome 45 X/46, X,i(Xq). Mosaicism with Y constitution 45,X/46,XY was seen in 2 (2.5%) patients; marker chromosome 45,X/46,X+mar (2%) in 1 patient (1.3%); and chromosome 1 and X translocation 46,XX,t(1;X)(p34;q25) detected in
1(1.3%) patient. Scoring system results showed that all patients with normal karyotype (46,XX/46,XY) were matched with score 1 and 2 while 17 patients with chromosomal abnormalities were matched with score 3 and 4, only 1 patient with mosaic Turner syndrome 45,X(10%)/46,XX(90%) matched score 1.
Conclusion: Turner syndrome was the most common cause of primary amenorrhea which attests the importance of cytogenetic analysis for diagnosis of primary amenorrhea patients. The scoring system needs further validated for measuring reliability and validity. |
topic |
primary amenorrhea karyotype clinical phenotype score system |
url |
https://ejournal2.undip.ac.id/index.php/jbtr/article/view/2546 |
work_keys_str_mv |
AT aishabalkharali cytogeneticanalysisandclinicalphenotypeofprimaryamenorrheainindonesianpatients AT ritaindriyati cytogeneticanalysisandclinicalphenotypeofprimaryamenorrheainindonesianpatients AT triindahwinarni cytogeneticanalysisandclinicalphenotypeofprimaryamenorrheainindonesianpatients AT sultanamhfaradz cytogeneticanalysisandclinicalphenotypeofprimaryamenorrheainindonesianpatients |
_version_ |
1725301252640735232 |