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Start free with EleplanLeydig cell hypoplasia
ORPHA:755Disease
Also called 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
What it is
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.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Neonatal
- 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
Very common80–99%
20- Abnormal external genitalia
- Abnormal internal genitalia
- Absence of secondary sex characteristics
- Ambiguous genitalia
- Aplasia of the uterus
- Breast aplasia
- Cryptorchidism
- Decreased serum testosterone concentration
- Delayed skeletal maturation
- Female hypogonadism
- Hyoplasia of the Leydig cells
- Hypergonadotropic hypogonadism
- Hypospadias
- Increased circulating gonadotropin level
- Male hypogonadism
- Male pseudohermaphroditism
- Micropenis
- Phenotypic abnormality
- Primary amenorrhea
- Primary gonadal insufficiency
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.
Genes reported in subtypes
Orphanet records these genes on 3 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
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.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
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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