Bilateral femoral hypoplasia associated with Rokitansky sequence: another example of a mesodermal malformation spectrum?

Coexistence of Mayer-Rokitansky-Kuster-Hauser syndrome and neurofibromatosis type I

Neurofibromatosis type 1 (NF-1) is the most frequently seen form of neurofibromatosis. The characteristic features of this disorder are café au lait macules, neurofibromas, axillary and inguinal freckling, Lisch nodules, bone lesions such as sphenoid dysplasia, and optic glioma. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a rarely seen disease characterized by complete vaginal agenesis and uterine aplasia/hypoplasia. We report a case of an 18-year-old female patient who presented with complaints of brown marks, freckling, and primary amenorrhea. NF-1 and MRKH syndrome were diagnosed by physical examination and radiologic imaging. To our knowledge, this is the first report of coexistence of these rare genetic diseases in the literature.

Mayer-Rokitansky-Küster-Hauser syndrome associated with thrombocytopenia-absent radius syndrome

OBJECTIVE

To describe the association of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome and thrombocytopenia-absent radius (TAR) syndrome.

DESIGN

Descriptive case report.

SETTING

Tertiary university-affiliated care and referral facility.

PATIENT(S)

A 22-year-old woman with TAR syndrome referred to our department with primary amenorrhea.

INTERVENTION(S)

Patient history, physical and laboratory examination, diagnostic laparoscopy, and karyotyping.

MAIN OUTCOME MEASURE(S)

Physical features in the combination of syndromes presented.

RESULT(S)

Laparoscopy revealed absent uterus and complete vaginal agenesis.

CONCLUSION(S)

This extremely rare case might provide further evidence of a link between the development of the skeletal system and the genitourinary tract.