Persistent Müller ian duct syndrome (PM DS) is a rare, autoso- mal recessive disorder of sex dev elopment, of male pseudo hermaphroditism, characterized by the persistence of Müllerian duct.. Male sex differentiation is driven by 2 hormones, testosterone and anti-müllerian hormone (AMH), responsible for the regression of müllerian ducts in male fetuses. Mutations inactivating AMH or its receptor AMHRII lead to the persistent müllerian duct syndrome (PMDS) in otherwise normally virilized 46,XY males. Our objective was to review the clinical, anatomical, and molecular features of PMDS based upon a review of the literature and upon 157 personal cases. Three clinical presentations.
Persistent Müllerian Duct Syndrome: Fertility Challenge 1Hemraz Palawan, 2Sultan Al Thakafi, 3Serdar Coskun, 4Naif Al Hathal IJERHS CaSE REpoRt 10.5005/jp-journals-10056-0092 ABSTRACT Persistent. . This review is based on published cases, including 157 personal ones. PMDS can present in one of three ways: bilateral cryptorchidism, unilateral cryptorchidism with contralateral hernia and transverse testicular ectopia. Abnormalities of male excretory ducts are frequent. Testicular malignant degeneration occurs in. Persistent Müllerian duct syndrome is a rare genetic disorder characterized by a male with retained Müllerian structures. Remnant excision must be considered due to the possibility of malignant degeneration. We review a case of delayed diagnosis in a 25-year-old man presenting with hematuria. Preoperative counseling must emphasize the risk of malignancy versus the risks to fertility. The da Vinci robot offers a novel, safe approach for excision of the relevant Müllerian structures. The early diagnosis of PMDS makes possible the excision of Müllerian structures and a primary orchidopexy. A long-term follow-up is needed for patients with intact Müllerian structures and magnetic resonance imaging might be a better method than US for that purpose. Most of the patients had normal testicular histology, which might allow fertility Persistent Müllerian duct syndrome (PMDS) is a rare condition of internal male disorders of sexual development (DSD), which is characterized by the presence of Müllerian duct structures (i.e., a uterus, cervix, fallopian tubes, and the upper two-thirds of a vagina) and a cryptorchid testis or testes in a phenotypically and genetically (46, XY) male patient. PMDS results from a failure in the synthesis or release of the Müllerian-inhibiting factor (MIF)/anti-Müllerian hormone.
Beim Müller-Gang-Persistenzsyndrom (engl. PMDS = Persistent müllerian duct syndrome) bleiben bei einem Mann, der ansonsten normale Genitalien aufweist, die Müller'schen Gänge bestehen. Der Grund ist entweder eine Strukturanomalie oder ein Mangel an Anti-Müller-Hormon (AMH) bzw. seines Rezeptors AMHRII Testicular feminization with persistent wolffian duct and müllerian remnants: similar to Mayer-Rokitansky-Kuster-Hauser syndrome . Mari Kitade, M.D. Mari Kitade. Correspondence. Reprint requests: Mari Kitade, M.D., Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Hongo, 2-1-1, Bunkyo-ku, Tokyo, 113-8421 (FAX: +81-3-5689-7460). Contact Affiliations. Department. Persistent Müllerian duct syndrome is the presence of Müllerian duct derivatives in what would be considered a genetically and otherwise physically normal male animal by typical human based standards. In humans, PMDS typically is due to an autosomal recessive congenital disorder and is considered by some to be a form of pseudohermaphroditism due to the presence of Müllerian derivatives. Typical features include undescended testes and the presence of a small, underdeveloped. Persistent müllerian duct syndrome (PMDS) is a rare (autosomal recessive) disorder that arises from a lack of MIS or AMH action on the müllerian ducts, resulting in the presence of müllerian structures in a normally masculinized XY male (Figure 25-6). PMDS is due to either a mutation in the AMH gene or a defect in the AMH type II receptor Persistent müllerian duct syndrome (PMDS) is a form of internal male pseudohermaphroditism caused by a deficiency of müllerian-inhibiting factor (MIF) (, 1). Müllerian derivatives (ie, fallopian tubes, uterus, upper part of the vagina) are present in otherwise normally virilized XY patients. PMDS patients are both karyotypically and phenotypically male, with normal development of secondary.
The persistent Müllerian duct syndrome (PMDS), classically known as hernia uteri inguinalis, is a rarely reported disorder of sexual development (DSD), first described by Nilson in 1939 Persistent Müllerian duct syndrome (PMDS) is affects the development of the sexual organs in males. Males with PMDS have normal testes and normal male external genitals. However, they also have a uterus and fallopian tubes (female reproductive organs). Early signs of PMDS may include undescended testes (cryptorchidism) or inguinal hernias . 2016; 42: 1237-43 _____ Submitted for publication: April 16, 2016 _____ Accepted after revision: April 25, 2016 _____ Published as Ahead of Print: August 17, 2016 InTRODucTIOn Persistent Mullerian Duct. Persistent müllerian duct syndrome is a rare form of male pseudohermaphroditism in which müllerian duct derivatives are present in an otherwise normally differentiated 46,XY male. The syndrome is caused by an insufficient amount of antimüllerian hormone or by insensitivity of the target organ to this factor Persistent Müllerian duct syndrome is a disorder of sexual development that affects males. Males with this disorder have normal male reproductive organs, though they also have a uterus and fallopian tubes, which are female reproductive organs. The uterus and fallopian tubes are derived from a structure called the Müllerian duct during development.
Persistent Müllerian duct syndrome (PMDS) is a rare form of internal male pseudohermaphroditism characterized by Müllerian duct (MD) derivatives in the genotypes and phenotypes of males with a 46,XY karyotype (1, 2). Normally, Sertoli cells begin to produce anti-Müllerian hormone (AMH) during week 7 of gestation, causing MD regression . For an acute and accurate analysis of such a situation a thorough knowledge of.
Nel maschio, la mancata regressione dei dotti di Müller si manifesta con la PMDS Persistent Müllerian duct syndrome caratterizzata dalla presenza di abbozzi di organi di derivazione dai dotti di Müller (tube, utero e terzo superiore della vagina) in individuo cromosomicamente e fenotipicamente maschio. Spesso è presente criptorchidismo Persistent Mullerian duct syndrome (PMDS) is a rare syndrome and sometimes the cause of a common problem in paediatric and surgical practice, namely undescended testes. PMDS is a recessive disease in which there is a defect in anti-Mullerian hormone secretion or receptor activity resulting in persistence of Mullerian structures such as a uterus or fallopian tubes with otherwise normal. persistent Müllerian duct syndrome Archivio. Gravidanza. Posizioni della donna in travaglio di parto. Scritto da dottvolpicelli on 16 Maggio 2020. Hits: 140. Posizioni della partoriente in travaglio e in periodo espulsivo La posizione da tenere durante il travaglio e il parto è una scelta assolutamente soggettiva e coerentemente tutte le strutture di ricovero dovrebbero consentire alla. Persistent mullerian duct syndrome is a rare form of internal male pseudohermaphroditism in which mullerian duct derivatives are present in a genotypic (46XY) and phenotypic male. We report a rare case of persistent mullerian duct syndrome in an adult fertile male in whom mullerian duct derivatives (uterus and fallopian tubes) were found in the right hernia sac at herniotomy Disturbances can lead to persistent Müllerian duct syndrome. The ducts disappear except for the vestigial vagina masculina and the appendix testis. Female embryogenesis : The absence of AMH results in the development of the paramesonephric ducts into the uterine tubes, uterus, and the upper 2/3 of the vagina. Disturbance in the development may result in uterine absence (Müllerian agenesis.
Persistent Müllerian duct syndrome (PMDS) is a rare type of male pseudohermaphroditism caused by a deficiency in anti‑Müllerian hormone (AMH) or a defect in its type II receptor. The current study reports the clinical data and results of the genetic analysis of a 17-month-old male diagnosed with PMDS. The clinical manifestations of the patient included a left transverse testicular ectopia. Persistent Müllerian duct syndrome (PMDS) is a rare disease that occurs in men with a completely normal phenotype and is characterised by the presence of Müllerian duct structures. Organogenesis of the male external genitalia is not affected. There is failure of regression of the müllerian structures, resulting in the presence of a uterus, fallopian tubes and the upper third of the vagina in males with a 46XY karyotype. Persons affected with this syndrome show the presence of. Persistent Mullerian Duct Syndrome, PMDS What is PMDS? A developmental syndrome of the Miniature and Standard Schnauzers, this causes male dogs to develop parts of the female reproductive tract, which understandably can cause significant complications later in life. Female dogs with PMDS have zero anatomic abnormalities. PMDS males are quite. Persistent Mullerian Duct Syndrome (PMDS) is a rare form of internal male pseudohermaphroditism, characterised by presence of Mullerian duct derivatives in a genotypic and phenotypic male. It is caused by absence of anti- Mullerian hormone or defective functioning of its receptors. We report a case of 19-year-old cryptorchid male with history of orchideopexy who was clinically and. Persistent Mullerian duct syndrome is a rare form of pseudohermaphroditism, possibly resulting from the absence of Mullerian duct inhibiting factor. PRESENTATION OF CASE. We report the case of a 36 year-old patient with a syndrome of persistent Müllerian ducts (PMDS) of the female type. The Clinical examination revealed avacant scrotum, a normal penis. The spermogram analysis found.
Such is the definition of the persistent Müllerian duct syndrome (PMDS), the subject of this review. The other cause of persistence of Müllerian ducts, testicular dysgenesis, usually affects both Sertoli and Leydig cells: persistence of Müllerian derivatives is then associated with external genital ambiguity. PMDS. Patients with PMDS have a normal male phenotype and are assigned to the male. Beim Müller-Gang-Persistenzsyndrom (engl. PMDS = Persistent müllerian duct syndrome) bleiben bei einem Mann, der ansonsten normale Genitalien aufweist, die Müller'schen Gänge bestehen. Der Grund ist entweder eine Strukturanomalie oder ein Mangel an Anti-Müller-Hormon (AMH) bzw. seines Rezeptors AMHRII.. Betroffene Individuen haben normal entwickelte männliche Geschlechtsorgane, besitzen.
Persistent Müllerian duct syndrome (PMDS) is a very important issue in clinical practice, mainly because of its rarity and difficult diagnosis and management. PMDS was first described by Nilson in 1939 and is caused by a defect in the Müllerian inhibiting factor (MIF) system. In the current issue of the Journal, Elabd and Almalki described a. AMH or AMHR2 mutations in mammals lead to the development of Persistent Müllerian Duct Syndrome (PMDS), a recessive condition in which affected males are fully virilized but retain Müllerian duct-derived tissues, including a uterus and oviducts, and in human and dog, undescended testes. Amh mutant female mice had accelerated ovarian primordial follicle recruitment, suggesting a role for AMH. Persistent Müllerian duct syndrome (PMDS) is a condition in which a 46, XY male displays masculine external genitalia, but internally retains developed Müllerian duct structures (uterus, fallopian tubes, and upper two-thirds vagina). Thoughtful operative consideration is needed to maximize the therapeutic benefit while minimizing the risk of hypogonadism, infertility, and erectile. The AMH induction as well as the Leydig cell hyperplasia are in line with the phenotype of persistent Müllerian duct syndrome in humans and animal models, which occurs due to inactivated AMH and AMHR2 gene mutations, but the reduced AMHR2 expression remains unexplained. Nonetheless, it could be speculated that AR inactivation might down-regulate AMHR2 expression, as has been reported in adult. Persistent Müllerian duct syndrome (PMDS) The regression of Müllerian ducts is an irreversible phenomenon occurring during a critical time window when the Müllerian ducts are hormone sensitive [143, 144]
Approximately 200 cases of persistent Müllerian duct syndrome have been reported over the last 50 years and most authors suggest leaving the Müllerian remnant in situ because of the difficulty in dissection and the presumed absence of risk of malignancy. However, with increasing reports of Müllerian malignancies emerging, we report our 10‐year experience of managing patients with. International audienceMale sex differentiation is driven by two hormones, testosterone and anti-Müllerian hormone (AMH), responsible for regression of Müllerian ducts in male fetuses. Mutations inactivating AMH or AMH receptor type 2 (AMHR2) are responsible for persistent Müllerian duct syndrome (PMDS) in otherwise normally virilised 46,XY males. This review is based on published cases.
persistent Müllerian duct syndrome, anti-Müllerian hormone, AMH receptor type 2, disorders of sex development, microdeletion, mutation Introduction The persistent Müllerian duct syndrome (PMDS) is a rare autosomal recessive disorder characterized by the persistence of Müllerian derivatives, uterus and tubes, in an otherwise normally virilized 46,XY male Persistent müllerian duct syndrome is a rare disorder that effects sexual development .İt is seen in genetically males(46XY).İt is characterized as persistence of müllerian duct structures (fallopian tubes,uterus and upper 2/3 of vagina).However external genitalia is normally virilized ,so it is considered as pseudohermaphrodism.Patients that suffer from PMDS have complains with fertility.
Persistent Müllerian duct syndrome is a rare genetic disorder characterized by a male with retained Müllerian structures. Remnant excision must be considered due to the possibility of malignant degeneration. We review a case of delayed diagnosis in a 25-year-old man presenting with hematuria. Preoperative counseling must emphasize the risk of malignancy versus the risks to fertility Persistent Mullerian duct syndrome (PMDS) is a rare disease characterized by normal virilization and XY genotype including failure of Mullerian duct regression. In this article, we report two cases of PMDS in Saudi patients with a pathogenic homozygous variant in the AMHR2 gene and review the literature. PMDS should be taken into consideration in all cases of bilateral cryptorchidism
Persistent Müllerian duct syndrome (PMDS) is a rare disorder of sex development (DSD) characterized by the persistence of Müllerian derivatives, the uterus and/or fallopian tubes, in otherwise normally virilized boys Persistence of the Mullerian ducts may manifest as any of the 3 major forms: (1) persistent Mullerian duct syndrome (PMDS); (2) mixed gonadal dysgenesis (MGD); or (3) intersex disorder of sexual development (DSD), which was previously known as dysgenetic male pseudohermaphroditism (DMP) [7,8,9]. Infertility is typical, with only 6 reported cases of fertility in males with these conditions to. In terms of persistent Mullerian duct syndrome's effect on the male sex organs themselves, around half of affected male dogs will have normal reproductive development with properly descended testes and full fertility, but the other 50% may develop cryptorchidism - a failure of one or both testes to descend - which can cause both infertility, and contribute to the development of. Persistent Müllerian duct syndrome (PMDS), also known as persistent oviduct syndrome, is a congenital disorder related to male sexual development. PMDS usually affects phenotypically normal male individuals with the karyotype (46, XY) and is a form of pseudohermaphroditism. PMDS has various causes to do with AMH or receptors abnormalities. For example, AMH has failed to synthesis, failed to. Persistent Müllerian duct syndrome (PMDS) refers to the presence of a uterus and sometimes other Müllerian duct derivatives in a genetically male animal. In humans, PMDS typically is due to an autosomal recessive  congenital disorder and is considered by some to be a form of pseudohermaphroditism due to the presence of uterine tissue. Typical features include undescended testes.
ORPHANET USER SATISFACTION SURVEY 2021 Dear Orphanet User, Your opinion is essential in improving the services offered by Orphanet. Your contribution to this survey is also indispensable for our funding agencie persistent müllerian duct syndrome A rare form of male pseudohermaphroditism of childhood onset, which is characterised by persistence of müllerian duct (female) structures in a phenotypically normal male. Clinical findings Cryptorchidism, testicular hypoplasia, normal virilisation at puberty, increased testicular tumours and transverse testicular ectopia. Segen's Medical Dictionary. Find all the evidence you need on Persistent Müllerian duct syndrome via the Trip Database. Helping you find trustworthy answers on Persistent Müllerian duct syndrome | Latest evidence made eas
Looking for persistent müllerian duct syndrome? Find out information about persistent müllerian duct syndrome. Med any combination of signs and symptoms that are indicative of a particular disease or disorder Collins Discovery Encyclopedia, 1st edition ©... Explanation of persistent müllerian duct syndrome This condition is known as the persistent Müllerian duct syndrome (PMDS) or internal male pseudohermaphroditism; it is usually transmitted as a recessive autosomal trait or X-linked recessive inheritance 3,4. A similar syndrome has been generated in mice by the targeted deletions of the AMH gene 5,6 or the AMH-receptor gene 7. The residual.
Persistent Müllerian Duct Syndrome (PMDS) is a rare type of pseudohermaphroditism found in phenotypically normal appearing males. It occurs when anti-müllerian hormone (AMH) (also müllerian inhibitory substance) is not able to cause regression of the Müllerian ducts in fetal male development either because of a mutation in the AMH gene or in the AMH receptor gene (chromosomes 19 and 12. effort should be made to preserve fertility and hormonal function, in patients less than 2 years of age.(11) 3. di Clemente N, Belville C. Anti-Müllerian hormone receptor defect. Best Pract Res Clin Endocrinol Metab. 2006;20:599-610. 4. Berkmen F. Persistent mullerian duct syndrome with or without transverse testicular ectopia and testis tumours. Br J Urol. 1997;79:122-6. 5. Shamim M. Persistent Müllerian duct syndrome is a condition in which the Mullerian duct does not disappear in the male embryo. Instead, a uterus or other derivative of this duct is present. In humans, the most common cause of this syndrome is a genetic disorder or mutation. Surgery to remove the female organs or tissues is generally performed in the.
Persistent Müllerian duct syndrome, including cryptorchidism (undescended testis) or ectopic testis with inguinal hernias, have been identified in human males due to AMH and AMHR-II gene mutations. Recent studies have revealed another AMH receptor group, AMH receptor-type I (AMHR-I), based on the AMH being a TgfB/Bmp family member. Recent studies have shown that ALK2, Alk3 (or Bmpr 1a) and. Abstract Transverse testicular ectopia (TTE) with persistent Müllerian duct syndrome (PMDS) is a rare genitourinary anomaly. Herein, we report a case of TTE with PMDS corrected laparoscopically. An 11-month old male patient visited our hospital with swelling of the right inguinal area. The right testis was palpable in the right scrotum while left testis was not in the left scrotum. During. Persistent Müllerian Duct Syndrome (PMDS) is a reproductive disorder in which the uterus and other parts of the female reproductive tract develop in male dogs. An important consequence of this disease is cryptorchidism (undescended testicles), which occurs in ~50% of affected dogs and causes infertility, as well as increased risk for testicular tumors Persistent Müllerian duct syndrome: an update. Reprod Fertil Dev. 2019; 31(7) :1240 Fertility is rare but possible if at least one testis is scrotal and its excretory ducts are intact. Up to January 2019, 81 families with 65 different mutations of the AMH gene, mostly in exons 1, 2 and 5, have been identified. AMHR2 gene mutations comprising 64 different alleles have been discovered in 79. Introduction. Persistent Müllerian duct syndrome (PMDS) is a rare form of internal male pseudo-hermaphroditism in which Müllerian duct derivatives (uterus, cervix, Fallopian tubes, and upper two-third of the vagina) are present in a phenotypically and karyotypically normal male. 1 Its association with mixed gonadal dysgenesis (MGD) makes it a very rare condition
People seeking treatment information about persistent Müllerian duct syndrome are encouraged to speak with a urologist (a physician who specializes in problems of the urinary tract and male reproductive organs).Your health care provider may be able to recommend a urologist in your area who may have knowledge of this condition Persistent müllerian duct syndrome (PMDS) is a rare form of male pseudohermaphroditism, characterized by the presence of a uterus and fallopian tubes due to failure of müllerian duct regression in genotypically normal males. 1, 2 More than 150 cases have been recorded, most of them in adults. The association between the persistent müllerian. Persistent Mullerian duct syndrome (PDMS) is a rare form of male pseudohermaphroditism with the presence of Mullerian duct derivatives in an otherwise phenotypical male. These patients have unilateral or bilateral cryptorchidism and are genetically 46XY. PMDS results from the failure of synthesis or release of Mullerian inhibiting factor (MIF. Transverse testicular ectopia (TTE) is a rare anomaly characterized by both testes descending through a single inguinal canal. In this report, the diagnosis of TTE was discovered in the event of an incarcerated congenital inguinal hernia in a neonate. We present a case of TTE accompanied by persistent Müllerian duct structures (PMDS) that had been discovered incidentally during inguinal. Persistent Müllerian duct syndrome Classification and external resources ICD-10: Q55.8 OMIM: 261550 DiseasesDB: 33868 MeSH: C536665 Persistent Müllerian duct syndrome (PMDS) is the presence of Müllerian duct derivatives (fallopian tubes, uterus.
Persistent Mullerian duct syndrome (PMDS) was first described by Nilson in 1939 .Subsequently, approximately 150 cases have been reported in the literature .PMDS is a rare form of male pseudo-hermaphroditism characterized by the presence of Mullerian duct structures in an otherwise phenotypically, as well as genotypically, normal man  Persistent Müllerian Duct Syndrome (PMDS) is a rare disorder of the anti-mullerian hormone (AMH) synthesis or receptor, which due to the visual contrast of normal masculine external genitalia and female internal genitalia can raise confusion, sometimes during surgery for cryptorchidism or hernia inguinalis. For an acute and accurate analysis of such a situation a thorough knowledge of gonadal. Persistent Müllerian Duct Syndrome: a Case Report. Ashish Verma. 15/08/2015 Persistent Mullerian duct syndrome: a case report Persistent Mullerian duct syndrome: a case report Raquel Almeida, António Canha, Jorge Santos, Anabela Rocha & Jorge Dores Author affiliations Centro Hospitalar do Porto, Porto, Portugal. View ePoster Download ePoster Persistent Mullerian duct syndrome (PMDS) is a. A Medline search using 'persistent mullerian duct syndrome' as the search term showed 14 reports of PMDS and associated gonadal tumours in the English language literature. Of these, only two previously reported patients had presented with bilateral gonadal tumours and none had obstructive uropathy [9,10]. Table 1 summarizes the tumour type and clinical presentation in both these patients. Persistent Müllerian duct syndrome (PMDS) is a disorder of sexual differentiation characterised by the persistence of müllerian derivatives (uterus and Fallopian tubes) in males with an XY karyotype and normal virilization.1 Eighty-ve percent of cases of PMDS are caused by muta-tions in the antimüllerian hormone gene (AMH), which lead to defects in its secretion or activity, or to mutations.
Persistent Müllerian duct syndrome (PMDS) is a pseudohermaphroditism in males characterized by the presence of Müllerian duct derivatives. As PMDS dogs often lack clinical symptoms, a molecular diagnosis is essential to identify the syndrome in these animals. In this study, a new molecular method using DNA mismatch-specific Surveyor nuclease was developed. The Surveyor nuclease assay. Síndrome del conducto de Müller persistente - Persistent Müllerian duct syndrome. De Wikipedia, la enciclopedia libre . Síndrome del conducto de Müller persistente ; Otros nombres : Derivados de Müller persistentes : El síndrome del conducto de Müller persistente tiene un patrón de herencia autosómico recesivo . Especialidad : Genética Médica : El síndrome del conducto de Müller. Anti-Müllerian hormone and polycystic ovary syndrome Fertility and Sterility 2011 96 1 230 235 2-s2.0-79959914104 10.1016/j.fertnstert.2011.04.003 5 Jamieson S. Fuller P. J. Molecular pathogenesis of granulosa cell tumors of the ovary Endocrine Reviews 2012 33 1 109 144 2-s2.0-84857837160 10.1210/er.2011-0014 6 Young J. Rey R. Couzinet B. Chanson P. Josso N. Schaison G. Anti-Müllerian. Fertility has been reported rarely in a few cases. Martin et al  had reported a 32 year old man with transverse testicular ectopia and a persistent mullerian duct that had a normal sperm count, but the motility index was zero, implying an intrinsic defect in spermatogenesis. There have been reports of different types of malignancy, such as seminoma, teratoma, yolk sac carcinoma, embry-onal.
1) Persistent Mullerian Duct Syndrome. Mutations in the AMH gene can result in irregular AMH production and defects in the AMH receptors. These factors result in people with male XY chromosomes developing female reproductive organs. Patients with Persistent Mullerian Duct Syndrome have undetectable levels of AMH A case of persistent Müllerian duct syndrome with sertoli cell tumor and hydrometra in a dog J Vet Med Sci 71:379-81, 2009 . Pubmed reference: 19346713. Meyers-Wallen, VN. : Review and update: genomic and molecular advances in sex determination and differentiation in small animals. Reprod Domest Anim 44 Suppl 2:40-6, 2009. Pubmed reference: 19754534. DOI: 10.1111/j.1439-0531.2009.01433.x. Persistente sindrome del dotto mulleriano - Persistent Müllerian duct syndrome. Da Wikipedia, l'enciclopedia libera . Persistente sindrome del dotto mulleriano ; Altri nomi : Derivati mulleriani persistenti : La sindrome del dotto mulleriano persistente ha un pattern ereditario autosomico recessivo . Specialità : Genetica medica : La sindrome del dotto mulleriano persistente ( PMDS ) è la.