46,XY difference of sex development

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46,XY difference of sex development due to 5-alpha-reductase 2 deficiency

ORPHA:753Disease

Also called 46,XY DSD due to 5-alpha-reductase 2 deficiency · 46,XY disorder of sex development due to 5-alpha-reductase 2 deficiency · Pseudovaginal perineoscrotal hypospadias · Steroid 5-alpha-reductase 2 deficiency

What it is

A rare difference of sex development (DSD) due to a defect in metabolizing testosterone to dihydrotestosterone and characterized by incomplete intrauterine masculinization which ranges from a female genitalia with a blind vaginal pouch to a fully male phenotype with pseudovaginal posterior hypospadias and micropenis.

Key facts

Age of onset
Adolescent, Childhood, Infancy, Neonatal
Inheritance
Autosomal recessive
Classified as
Disease

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

SRD5A2Disease-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 5680MEDDRA 10000029MESH C535830MONDO 0009923OMIM 264600UMLS C0268297

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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