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Clinical features

Authoring team

At birth, the external genitalia are female while the internal genitalia have a Wolffian (male) configuration. There is an association with congenital inguinal hernias.

During puberty, testosterone-sensitive tissues respond normally, while dihydrotestosterone-sensitive tissues remain relatively atrophic:

  • the clitoris enlarges
  • pubic, axillary and body hair appears
  • the voice deepens

Male pattern baldness does not occur.

Reference

  1. Cheon CK. Practical approach to steroid 5alpha-reductase type 2 deficiency. Eur J Pediatr. 2011 Jan;170(1):1-8

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