Aromatase deficiency

Definition

Genetic rearrangements in the region of the CYP19A1 gene that encodes the aromatase enzyme excessively increase the conversion of androgens to estrogen. Males develop gynecomastia in late childhood/adolescence, accelerated bone age, an early growth spurt and short stature; females are mostly asymptomatic, with occasional breast enlargement and irregular menstruation. Fertility is usually normal.

Gene/region analyzed

CYP19A1 - Whole Gene

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Hereditary, autosomal dominant; may be inherited from a parent or arise de novo.

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