has material basis in germline mutation in WT1 syndromic disease hereditary disease Meacham syndrome https://github.com/monarch-initiative/mondo/issues/6878 https://www.malacards.org/card/meacham_syndrome Meacham Winn Culler syndrome GARD:0003432 MONDO:0012164 Meacham-Winn-Culler syndrome Double vagina, cardiac, pulmonary, and other genital malformations with 46,XY karyotype Meacham syndrome is a multiple malformation syndrome characterized by congenital diaphragmatic abnormalities, genital defects and cardiac malformations. UMLS:C1837026 Meacham syndrome Rhabdomyomatous dysplasia-cardiopathy-genital anomalies syndrome MESH:C538162 Orphanet:3097 OMIM:608978 icd11.foundation:1307620543 SCTID:722461004 MEDGEN:373234 46 XY differences of sex development