46,XY difference of sex development

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46,XY difference of sex development due to 17-beta-hydroxysteroid dehydrogenase 3 deficiency

ORPHA:752Disease

Also called 17-beta-hydroxysteroid dehydrogenase 3 deficiency · 17-ketoreductase deficiency · 17-ketosteroidreductase deficiency · 46,XY disorder of sex development due to 17-beta-hydroxysteroid dehydrogenase 3 deficiency

What it is

A rare difference of sex development characterized by 17-beta hydroxysteroid dehydrogenase 3 deficiency that affects individuals with a 46,XY karyotype leading to underandrogenization of the genitalia.

Key facts

Prevalence
1-9 / 1 000 000 (Netherlands)
Age of onset
Adolescent, Neonatal
Inheritance
Autosomal recessive
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Gene

HSD17B3Disease-causing germline mutation(s) (loss of function)

ICD-10 codes

E29.1filed under a broader ICD-10 category — shared with 5 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Cross-references

GARD 5659MESH C537805MONDO 0009916OMIM 264300UMLS C0268296

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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