File:Grade 4 partial androgen insensitivity syndrome.jpg
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Summary
Description
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Grade 4 PAIS with bifid scrotum, microphallus-like clitoris, and urethral orifice with terminal sinus urogenitalis.
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Source
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Aguilar-Ponce J, Chilaca Rosas F, Molina Calzada C, Granados García M, Jiménez Ríos MA, De la Garza Salazar J. Testicular cancer in androgen insensitivity syndrome in a Mexican population. Clin Transl Oncol. 2008;10:840-843.
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Article
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Partial androgen insensitivity syndrome
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Portion used
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Single image from an article in a medical journal.
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Low resolution?
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Resolution of this image will not affect journal subscriptions (i.e. revenue).
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Purpose of use
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This image helps grade 4 PAIS patients make medical decisions (e.g. type and extent of genitoplasty) by clearly illustrating the surgically unaltered genitalia of an individual with grade 4 PAIS. This kind of information is very difficult to get.
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Replaceable?
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PAIS is a very rare disorder, affecting approximately 1 in 100,000 births. This particular variant (grade 4) rare even among individuals with PAIS. Many will have genitplastic surgery shortly after puberty, making this photograph exceedingly rare, and very unlikely that it can be replaced. It is also worthy to note that this subject is sensitive, and calls for medical quality photography.
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Other information
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Sources that describe PAIS and its rarity include: (1:) Quigley CA, De Bellis A, Marschke KB, El-Awady MK, Wilson EM, French FS. Androgen receptor defects: historical, clinical, and molecular perspectives. Endocr Rev. 1995;16:271–321. (2:)Mazen I, El-Ruby M, Kamal R, El-Nekhely I, El-Ghandour M, Tantawy S, El-Gammal M. Screening of Genital Anomalies in Newborns and Infants in Two Egyptian Governorates. Horm Res Paediatr. 2010;73:438-442.
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Fair useFair use of copyrighted material in the context of Partial androgen insensitivity syndrome//en.wikipedia.org/wiki/File:Grade_4_partial_androgen_insensitivity_syndrome.jpgtrue
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Licensing
| This image is a scan of a newspaper page or article, and the copyright for it is most likely held by either the publisher of the newspaper or the individual contributors who worked on the articles or images depicted. It is believed that the use of low-resolution images of newspaper pages
- to illustrate either the publication of the article or issue in question,
- with the publication name either visible on the image itself or written in the image description above,
- on the English-language Wikipedia, hosted on servers in the United States by the non-profit Wikimedia Foundation,
qualifies as fair use under the copyright law of the United States. Any other uses of this image, on Wikipedia or elsewhere, may be copyright infringement. See Wikipedia:Non-free content for more information.
Note: If the image depicts a person or persons on the cover, it is not acceptable to use the image in the article of the person or persons depicted on the cover, unless used to directly illustrate a point about the publication of the image. Use of the image merely to depict a person or persons in the image will be removed.
Fair use
//en.wikipedia.org/wiki/File:Grade_4_partial_androgen_insensitivity_syndrome.jpg
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File history
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| Date/Time | Thumbnail | Dimensions | User | Comment |
current | 02:01, 4 June 2017 | | 416 × 239 (25 KB) | DatBot | Reduce size of non-free image (BOT - disable) |
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