raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:755

Leydig cell hypoplasia

Synonyms: 46,XY DSD due to LH resistance or LHB deficiency · 46,XY DSD due to luteinizing hormone resistance or luteinizing hormone beta subunit deficiency · 46,XY disorder of sex development due to LH resistance or LHB deficiency · 46,XY disorder of sex development due to luteinizing hormone resistance or luteinizing hormone beta subunit deficiency

Type
Disease
Group
Disorder
Age of onset
Neonatal
Status
active

A rare 46,XY difference of sex development due to impaired androgen production characterized by impaired normal male sexual development. The severity of the disorder varies and can manifest in its severe form with complete 46,XY male pseudohermaphroditism, including low testosterone and high luteinizing hormone levels, absent development of secondary male sex characteristics and lack of breast development. Patients with the milder form can have a wider range of phenotypes, ranging from micropenis to severe hypospadias.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLeydig cell hypoplasia46,XY DSD due to LH resistance or LHB deficiency · 46,XY DSD due to luteinizing hormone resistance or luteinizing hormone beta subunit deficiency · 46,XY disorder of sex development due to LH resistance or LHB deficiency · 46,XY disorder of sex development due to luteinizing hormone resistance or luteinizing hormone beta subunit deficiency
frHypoplasie des cellules de LeydigADS 46,XY par résistance à l'hormone lutéinisante ou déficit en hormone lutéinisante bêta · ADS 46,XY par résistance à la LH ou déficit en LHB · Anomalie du développement sexuel 46,XY par résistance à l'hormone lutéinisante ou déficit en hormone lutéinisante bêta · Anomalie du développement sexuel 46,XY par résistance à la LH ou déficit en LHB · DSD 46,XY par résistance à l'hormone lutéinisante ou déficit en hormone lutéinisante bêta · DSD 46,XY par résistance à la LH ou déficit en LHB
deLeydig-Zell-Hypoplasie46,XY DSD durch LH-Resistenz oder LHB-Mangel · Störung der Geschlechtsentwicklung 46,XY, durch LH-Resistenz oder LHB-Mangel · Störung der Geschlechtsentwicklung 46,XY, durch Resistenz des luteinisierenden Hormons oder Mangel der Luteinisierendes-Hormon-beta-Untereinheit
esHipoplasia de células de LeydigTDS 46,XX por resistencia a LH o por deficiencia de LHB · TDS 46,XX por resistencia a la hormona luteinizante o por deficiencia de la subunidad beta de la hormona luteinizante · Trastorno del desarrollo sexual 46,XX por resistencia a LH o por deficiencia de LHB · Trastorno del desarrollo sexual 46,XX por resistencia a la hormona luteinizante o por deficiencia de la subunidad beta de la hormona luteinizante
itIpoplasia delle cellule di LeydigDSD 46,XY da resistenza a LH o deficit di LHB · DSD 46,XY da resistenza all'ormone luteinizzante o deficit della subunità beta dell'ormone luteinizzante · Disturbo dello sviluppo sessuale 46,XY da deficit della subunità beta dell'ormone luteinizzante · Disturbo dello sviluppo sessuale 46,XY da resistenza a LH o deficit di LHB · Pseudoermafroditismo maschile da resistenza a LH o deficit di LHB · Pseudoermafroditismo maschile da resistenza all'ormone luteinizzante o deficit della subunità beta dell'ormone luteinizzante
nlHypoplasie van Leydigcellen46,XY-DSD door LH-resistentie of LHB-deficiëntie · 46,XY-DSD door resistentie tegen luteïniserend hormoon of door deficiëntie van luteïniserend hormoon bèta-subeenheid · 46,XY-geslachtsontwikkelingsstoornis door LH-resistentie of LHB-deficiëntie · 46,XY-geslachtsontwikkelingsstoornis door resistentie tegen luteïniserend hormoon of door deficiëntie van luteïniserend hormoon bèta-subeenheid
ptHipoplasia das células de LeydigPseudo-hermafroditismo masculino por deficiência na molécula de LH
plHipoplazja komórek Leydiga46,XY DSD z powodu niewrażliwości na hormon luteinizujący lub Niedobór podjednostki beta hormonu luteinizującego · 46,XY DSD z powodu niewrażliwości na LH lub niedoboru LHB · 46,XY zaburzenie różnicowania płci z powodu niewrażliwości na hormon luteinizujący lub Niedobór podjednostki beta hormonu luteinizującego · 46,XY zaburzenie różnicowania płci z powodu niewrażliwości na LH lub niedoboru LHB · Pseudohermafrodytyzm męski z powodu niewrażliwości na hormon luteinizujący lub Niedobór podjednostki beta hormonu luteinizującego · Pseudohermafrodytyzm męski z powodu niewrażliwości na LH lub niedoboru LHB
csHypoplázie Leydigových buněk46,XY DSD způsobená rezistencí k LH nebo deficitu LHB · 46,XY DSD způsobená rezistencí k luteinizačnímu hormonu nebo deficitu beta podjednotky luteinizačního hormonu · 46,XY porucha pohlavního vývoje způsobená rezistencí k LH nebo deficitu LHB · 46,XY porucha pohlavního vývoje způsobená rezistencí k luteinizačnímu hormonu nebo deficitu beta podjednotky luteinizačního hormonu · Mužský pseudohermafroditismus způsobený rezistencí k LH nebo deficitu LHB · Mužský pseudohermafroditismus způsobený rezistencí k luteinizačnímu hormonu nebo deficitu beta podjednotky luteinizačního hormonu
ukГіпоплазія клітин Лейдіга46,XY порушення статевого розвитку внаслідок резистентності до ЛГ або дефіциту ЛГБ · 46,XY порушення статевого розвитку внаслідок резистентності до лютеїнізуючого гормону або дефіциту бета-субодиниці лютеїнізуючого гормону · 46,XY DSD через резистентність до ЛГ або дефіцит ЛГБ · 46,XY МДД внаслідок резистентності до лютеїнізуючого гормону або дефіциту бета-субодиниці лютеїнізуючого гормону
zhLeydig细胞发育不全促黄体生成素抵抗或促黄体生成素β亚基缺乏所致46,XY性发育异常
trLeydig hücre hipoplazisi46,XY LH direnci veya LHB eksikliğine bağlı DSD · 46,XY LH direnci veya LHB eksikliğine bağlı cinsiyet gelişim bozukluğu · 46,XY luteinize edici hormon direnci veya luteinize edici hormon beta alt birim eksikliğine bağlı DSD · 46,XY luteinize edici hormon direnci veya luteinize edici hormon beta alt birimi eksikliğine cinsiyet gelişimi bozukluğu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM238320BTNTvalidated
ICD-10E34.5NTBTattributedvalidated
ICD-11LD2A.3NTBTindexvalidated
MONDO0019155Evalidated
MeSHC562567Evalidated
UMLSC0860158Evalidated
GARD3244Evalidated
MedDRA10024406Evalidated

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 (2):

Children (3):

4

Genes

0 direct · 3 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LHCGRORPHA:96265Leydig cell hypoplasia due to complete LH resistanceDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:6585ENSG000001380391527902p16.3luteinizing hormone/choriogonadotropin receptor
LHCGRORPHA:96266Leydig cell hypoplasia due to partial LH resistanceDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:6585ENSG000001380391527902p16.3luteinizing hormone/choriogonadotropin receptor
LHBORPHA:325448Leydig cell hypoplasia due to LHB deficiencyDisease-causing germline mutation(s) inAssessedHGNC:6584ENSG0000010482615278019q13.33luteinizing hormone subunit beta
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families70 casesWorldwideCase(s)Validated39162678[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated39162678[PMID]_ORPHANET

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

23 annotations · validated 2016-01-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000811Abnormal external genitalia
HP:0000812Abnormal internal genitalia
HP:0008187Absence of secondary sex characteristics
HP:0000062Ambiguous genitalia
HP:0000151Aplasia of the uterus
HP:0100783Breast aplasia
HP:0000028Cryptorchidism
HP:0040171Decreased serum testosterone concentration
HP:0002750Delayed skeletal maturation
HP:0000134Female hypogonadism
HP:0010790Hyoplasia of the Leydig cells
HP:0000815Hypergonadotropic hypogonadism
HP:0000047Hypospadias
HP:0000837Increased circulating gonadotropin level
HP:0000026Male hypogonadism
HP:0000037Male pseudohermaphroditism
HP:0000054Micropenis
HP:0000118Phenotypic abnormality
HP:0000786Primary amenorrhea
HP:0008193Primary gonadal insufficiency
Occasional (29-5%)
HP:0012872Abnormal vas deferens morphology
HP:0000869Secondary amenorrhea
HP:0000030Testicular gonadoblastoma

Run the differential on the 12 obligate / very frequent terms

Annotation source: 152780[PMID]_152790[PMID]_7581384[PMID]_10852464[PMID]_12050206[PMID]_23044874[PMID]_6792847[PMID]_1617805[PMID]_7719343[PMID]

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Sources for this card