Gender Incongruity in a Person with 46,XY and Complete Androgen Insensitivity Syndrome Raised as a Female.

We present the case of a patient with female sex assignment at birth whose parents consulted with a pediatrician when the child was 12 years old, indicating that despite female sex assignment, she felt that she (henceforth "he") had a male gender identity and was gynephilic. Medical examination revealed a 46XY karyotype, a primary amenorrhea and an appropriate testosterone increase after HCG stimulation test. The patient was diagnosed then with a 46,XY disorder of sex development with androgen insensitivity syndrome, but then he missed subsequent appointments.

Refractory hypertension in a young woman.

A 36-year-old woman was referred for the evaluation of refractory arterial hypertension with vasculorenal profile. Abdominal multislice computed tomography angiography (MSCT-angiography) was performed for further evaluation. Bilateral renal artery involvement was demonstrated with aneurysms, stenotic segments, and a string-of-beads-appearance in the right renal artery.