Precocious Puberty in a Boy With Bilateral Leydig Cell Tumors due to a Somatic Gain-of-Function

LHCGR LHR Leydig cell tumor luteinizing hormone-chorionic gonadotropin receptor precocious puberty

Journal

Journal of the Endocrine Society
ISSN: 2472-1972
Titre abrégé: J Endocr Soc
Pays: United States
ID NLM: 101697997

Informations de publication

Date de publication:
01 Oct 2022
Historique:
received: 28 04 2022
entrez: 16 9 2022
pubmed: 17 9 2022
medline: 17 9 2022
Statut: epublish

Résumé

Autosomal dominant and rarely de novo gain-of-function variants in the We present a boy with gonadotropin-independent precocious puberty and rapid virilization beginning in infancy resistant to standard therapy. Treatment with abiraterone in addition to letrozole and bicalutamide proved effective. Bilateral diffuse Leydig cell tumors were identified at age 5 years. Whole-genome sequencing of tumor and blood samples was performed. The patient was confirmed to have bilateral, diffuse Leydig cell tumors harboring the somatic, gain-of-function p.Asp578His variant in the We report a young boy with severe gonadotropin-independent precocious puberty beginning in infancy who developed bilateral diffuse Leydig cell tumors at age 5 years due to a somatic gain-of-function p.Asp578His variant in

Identifiants

pubmed: 36111273
doi: 10.1210/jendso/bvac127
pii: bvac127
pmc: PMC9469925
doi:

Types de publication

Case Reports

Langues

eng

Pagination

bvac127

Informations de copyright

Published by Oxford University Press on behalf of the Endocrine Society 2022.

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Auteurs

Chelsi Flippo (C)

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, Bethesda, Maryland 20892, USA.
Division of Endocrinology, Children's National Hospital, Washington, DC 20010, USA.

Vipula Kolli (V)

National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA.

Melissa Andrew (M)

Division of Endocrinology, Children's National Hospital, Washington, DC 20010, USA.

Seth Berger (S)

Center for Genetic Medicine Research & Rare Disease Institute, Children's National Hospital, Washington, DC 20012, USA.

Tricia Bhatti (T)

Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia and The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Alison M Boyce (AM)

Metabolic Bone Disorders Unit, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland 20892, USA.

Daniel Casella (D)

Division of Pediatric Urology, Children's National Hospital, Washington, DC 20010, USA.

Michael T Collins (MT)

Skeletal Disorders and Mineral Homeostasis Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland 20892, USA.

Emmanuèle Délot (E)

Center for Genetic Medicine Research, Children's National Research Institute and Department of Genomics and Precision Medicine, George Washington University, Washington, DC 20012, USA.

Joseph Devaney (J)

GeneDx, Gaithersburg, Maryland 20877, USA.

Stephen M Hewitt (SM)

Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20814, USA.

Thomas Kolon (T)

Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

Ashwini Mallappa (A)

National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA.

Perrin C White (PC)

Division of Pediatric Endocrinology, UT Southwestern Medical Center, Dallas, Texas 75230, USA.

Deborah P Merke (DP)

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, Bethesda, Maryland 20892, USA.
National Institutes of Health Clinical Center, Bethesda, Maryland 20892, USA.

Andrew Dauber (A)

Division of Endocrinology, Children's National Hospital, Washington, DC 20010, USA.
Department of Pediatrics, The George Washington University School of Medicine and Health Sciences, Washington, DC 20052, USA.

Classifications MeSH