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Partial androgen insensitivity--are all tissues equal?
E J Keely1, D D Belsham, K Wrogemann
1University of Manitoba, Health Sciences Centre, Winnipeg, Canada.
Abstract:
Nonaromatizable androgens, administered in high doses to an adult patient with partial androgen insensitivity, failed to result in a change in phallic size despite a clear decline in SHBG and gonadotropin levels. These findings raise the question of differential tissue sensitivity to androgens. Because ancillary laboratory testing does not predict reliably the genital response, a therapeutic trial should be advocated in such cases.
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