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Tetragametic chimerism is a rare, sex chromosome disorder of sex development characterized by the two different haploid sets of maternal and paternal chromosomes and variable phenotype - from normal male or female genitalia, to different degrees of ambiguous genitalia, and often infertility. Also, in the cases of monochorionic dizygotic twins, it can be confined to blood of both twins.
Features include very common findings: Cryptorchidism, Abnormal testis morphology, Abnormal scrotum morphology, and Bifid scrotum and others; and common findings: Single transverse palmar crease.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 1 | Hypopigmented skin patches |
Phenotype severity distribution: 16 very common features, 1 common feature.
No clinical trials have been registered for tetragametic chimerism.
6 publications have been identified in PubMed for tetragametic chimerism. Research spans Case Report / Case Series (67%), Review / Meta-Analysis (17%), and Epidemiology / Natural History (17%).
Gao L (2026). [PMID: 41289663](https://pubmed.ncbi.nlm.nih.gov/41289663/). *Forensic Sci Int Genet*. [Case Report / Case Series]
Zhang W (2025). [PMID: 41811050](https://pubmed.ncbi.nlm.nih.gov/41811050/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Shildrick M (2025). [PMID: 41250214](https://pubmed.ncbi.nlm.nih.gov/41250214/). *Biol Sex Differ*. [Review / Meta-Analysis]
Baqri W (2025). [PMID: 40913326](https://pubmed.ncbi.nlm.nih.gov/40913326/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Xue Y (2025). [PMID: 40248274](https://pubmed.ncbi.nlm.nih.gov/40248274/). *Gynecol Oncol Rep*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 12:59 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
1 |
Abnormality of multiple cell lineages in the bone marrow |