Phenotypes
Db Link Name Definition Comment Is a
HPO HP:0000846 Adrenal insufficiency "Insufficient production of steroid hormones (primarily cortisol) by the adrenal glands." [HPO:probinson, PMID:11443143] Adrenal insufficiency may cause persistent vomiting, anorexia, hypoglycemia, poor weight gain in a child, or unexplained weight loss in an adult, malaise, fatigue, muscular weakness, unexplained isotonic or hyponatremic dehydration, hyperkalemia, hypotension, hypoglycemia and especially generalized hyperpigmentation. HP:0011733
HPO HP:0002215 Sparse axillary hair "Reduced number or density of axillary hair." [HPO:probinson] HP:0008070, HP:0100134
HPO HP:0012870 Vanishing testis "A condition which is considered to be due to the subsequent atrophy and disappearance in fetal life of an initially normal testis. In the presence of spermatic cord structures is evidence of the presence of the testis in early intrauterine life. When associated with a blind-ending spermatic cord, this entity is named as his absence of a testis in an otherwise normal 46XY male is usually unilateral and is assumed to be a consequence of intrauterine or perinatal torsion or infarction." [HPO:probinson, PMID:22985611] HP:0000035
HPO HP:0000786 Primary amenorrhea HP:0000141
HPO HP:0008726 Hypoplasia of the vagina "Developmental hypoplasia of the vagina." [HPO:probinson] HP:0011026
HPO HP:0011969 Elevated circulating luteinizing hormone level "An elevated concentration of luteinizing hormone in the blood." [HPO:probinson] HP:0000837, HP:0030345
HPO HP:0000144 Decreased fertility HP:0000080
HPO HP:0000037 Male pseudohermaphroditism "Hermaphroditism refers to a discrepancy between the morphology of the gonads and that of the external genitalia. In male pseudohermaphroditism, the genotype is male (XY) and the external genitalia are imcompletely virilized, ambiguous, or complete female. If gonads are present, they are testes." [HPO:curators] HP:0000032
HPO HP:0000022 Abnormality of male internal genitalia "An abnormality of the male internal genitalia." [HPO:probinson] The internal genital structures of the male including the testis, epididymis, vas deferens, seminal vesicle, ejaculatory duct, bulbourethral gland, and the prostate. HP:0000812, HP:0010461
HPO HP:0008736 Hypoplasia of penis HP:0000036, HP:0000050
HPO HP:0008734 Decreased testicular size "Reduced volume of the testicle (the male gonad)." [HPO:probinson] HP:0000050, HP:0010468
HPO HP:0000062 Ambiguous genitalia "A genital phenotype that is not clearly assignable to a single gender. Ambiguous genitalia can be evaluated using the Prader scale: Prader 0: Normal female external genitalia. Prader 1: Female external genitalia with clitoromegaly. Prader 2: Clitoromegaly with partial labial fusion forming a funnel-shaped urogenital sinus. Prader 3: Increased phallic enlargement. Complete labioscrotal fusion forming a urogenital sinus with a single opening. Prader 4: Complete scrotal fusion with urogenital opening at the base or on the shaft of the phallus. Prader 5: Normal male external genitalia. The diagnosis of ambiguous genitalia is made for Prader 1-4." [HPO:probinson, PMID:15102623] Note that this term can include or combine variations in size and shape, with partial or complete absence of structures. It is preferable to describe the individual components, which are defined below. It is nonetheless a widely used bundled term and as such is retained here. The distinction of this finding from a marked degree of Hypospadias is an example of how this term can be problematic. Genetic gender is determined at fertilization, whereby the presence of a Y chromosome determines male gender. Normally, genetic gender determines gonadal gender which in turn determines phenotypic gender. Testicular development is an active process requiring expression of the primary testis determining gene SRY, which is located on the Y chromosome. HP:0000811
HPO HP:0000008 Abnormal morphology of female internal genitalia "An abnormality of the female internal genitalia." [HPO:probinson] HP:0000812, HP:0010460
HPO HP:0000271 Abnormality of the face "An abnormality of the face." [HPO:probinson] HP:0000234
HPO HP:0008633 Agonadism "Absence of sex glands (gonads are the organs that produce gametes; testis in males and ovary in females)." [] Gonadal agenesis refers to the lack of development of gonads during fetal development; it may not be possible clinically to determine if gonal tissue was present at any point of development. For this reason, we regard agonadism and gonadal agenesis as synonymous. HP:0000812
HPO HP:0010469 Absent testis "Testis not palpable in the scrotum or inguinal canal." [HPO:probinson, PMID:23650202] Absence can be congenital or not (vanishing testis). Definitive assessment can only be made by imaging or surgical studies, in order to exclude an intra-abdominal testis, which should be coded as Cryptorchidism. True absence of a testis can be difficult to prove. Anorchia is true absence of both testes, and can only be determined by imaging or surgical studies. HP:0010468