Furthermore, duplications of the SOX3 locus were detected in three cases of 46,XX testicular DSD10). SOX3 analysis can be considered the next step for the diagnosis of 46,XX SRY-negative testicular DSD with normal copies of SOX9. A family study recently reported that 46,XY persons with a 178 kb duplication in a region about 500 kb upstream of SOX9 were completely normal fertile males, whereas 46,XX SRY-negative persons in the same family with duplications were clinically infertile males6). In this report, two of the three paternal cousins of their probands are known as infertile and the two probands share the same paternal haplotype for the SOX9 region, confirming the possibility that the father was indeed the carrier of the same triplication. Therefore, we should investigate family members of 46,XX male patients caused by SOX9 duplication. The 46,XX testicular disorder of sex development (DSD), also known as 46,XX male syndrome, is a rare condition with an estimated prevalence of one in 20,000 males1).
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There were no significant differences between girls and boys regarding type of headache; however, they did find that girls experience recurrent headaches more than boys. Other studies, however, find the prevalence of tension-type headaches to be higher in girls. For example, in a sample of children from Sweden, Laurell et al236 reported the 1-year prevalence of tension-type headache among girls as 12% and 8% for boys.
Differences in cerebral activation between males and females have been evaluated in a number of studies. Studies have examined brain activity through a number of methods including positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) in response to different pain modalities. Given the reported sex differences in experimental pain perception, the use of neuroimaging is a promising tool that may reveal sex differences in central representations of pain. Table 9 lists several studies that have compared the central processing of pain between males and females. These studies have revealed a number of common cortical and subcortical areas activated by pain, but they have also observed sex-specific areas of activation.
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- Most studies used the cold pressor as the conditioning stimulus, whereas a variety of test stimuli have been used.
- During embryogenesis, SOX9 is expressed immediately downstream of SRY and functions as a critical Sertoli cell differentiation factor.
- Based on the present set of studies, it appears that sex differences in cold pain are consistent, particularly for suprathreshold measures such as tolerance and pain ratings.
- We would like to highlight several issues, consideration of which could promote more rapid progress in the field.
- The inflammatory response to various triggering events involves plasma extravasation, chemotactic attraction of leukocytes, and, in turn, stimulated release of inflammatory cytokines and growth factors.
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