raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2138

46,XX ovotesticular difference of sex development

Synonyms: 46,XX ovotesticular DSD · 46,XX ovotesticular disorder of sex development

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Adolescent, Antenatal, Neonatal
Status
active

A rare difference of sex development (DSD) characterized by histologically confirmed testicular and ovarian tissue in an individual with a 46,XX karyotype.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en46,XX ovotesticular difference of sex development46,XX ovotesticular DSD · 46,XX ovotesticular disorder of sex development
frDifférence ovotesticulaire du développement sexuel 46,XXADS ovotesticulaire 46,XX · Anomalie ovotesticulaire du développement sexuel 46,XX · DSD 46,XX ovotesticulaire
deStörung der Geschlechtsentwicklung 46,XX, ovotestikuläre46,XX-DSD, ovotestikuläre
esDesarrollo sexual diferente 46,XX ovotesticularDSD 46,XX ovotesticular · Trastorno del desarrollo sexual 46,XX ovotesticular
itDisturbo ovotesticolare dello sviluppo sessuale 46,XXDSD ovotesticolare 46,XX · Ermafroditismo vero
nl46,XX ovotesticulaire geslachtsontwikkelingsstoornis46,XX ovotesticulaire DSD
ptDoença do desenvolvimento sexual 46,XX ovotesticularHermafroditismo verdadeiro
plJajnikowo-jądrowe zaburzenie różnicowania płci z kariotypem 46,XX46,XX jajnikowo-jądrowe ZRP · Hermafrodytyzm prawdziwy
cs46,XX ovotestikulární poruchy sexuálního vývoje46, XX ovotestikulární DSD · Pravý hermafroditismus
uk46,XX овотестикулярне порушення статевої диференціації46,XX овотестикулярний розлад статевого розвитку · 46,XX овотестикулярна DSD
zh46,XX 卵睾两性畸形46,XX卵睾型DSD
tr46, XX ovotestiküler cinsiyet gelişim bozukluğu46, XX ovotestiküler DSD

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM400045NTBTvalidated
OMIM617480BTNTvalidated
OMIM618901BTNTvalidated
ICD-10Q56.0NTBTattributedvalidated
ICD-11LD2A.YNTBTindexvalidated
MONDO0016281Evalidated
MeSHD050090Evalidated
UMLSC5679613Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NR5A1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7983ENSG000001369311847579q33.3nuclear receptor subfamily 5 group A member 127490115[PMID]
SOX9Disease-causing germline mutation(s) inAssessedHGNC:11204ENSG0000012539860816017q24.3SRY-box transcription factor 922051515[PMID]
SRYDisease-causing germline mutation(s) inAssessedHGNC:11311ENSG00000184895480000Yp11.2sex determining region Y1740318[PMID]_11912443[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families500 casesWorldwideCase(s)Validated[EXPERT]_23926413[PMID]
Prevalence at birth1-9 / 100 0002.5 / 100 000WorldwideValue and classValidated[EXPERT]
Point prevalence1-9 / 100 000—EuropeClass onlyValidatedORPHANET_[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

14 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000008Abnormal morphology of female internal genitalia
HP:0012856Abnormal scrotal rugation
HP:0000022Abnormality of male internal genitalia
HP:0000130Abnormality of the uterus
HP:0000062Ambiguous genitalia
HP:0000048Bifid scrotum
HP:0000028Cryptorchidism
HP:0000144Decreased fertility
HP:0008736Hypoplasia of penis
HP:0000047Hypospadias
HP:0000147Polycystic ovaries
HP:0000046Small scrotum
HP:0010459True hermaphroditism
HP:0100779Urogenital sinus anomaly

Run the differential on the 12 obligate / very frequent terms

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Sources for this card