has material basis in germline mutation in WNT4 46 XX gonadal dysgenesis SERKAL syndrome https://www.malacards.org/card/46xx_sex_reversal_with_dysgenesis_of_kidneys_adrenals_and_lungs Orphanet:139466 GARD:0010302 46,XX Sex reversal with dysgenesis of kidneys Adrenals and lungs MONDO:0012734 SERKAL MESH:C567517 MEDGEN:394528 SERKAL (SEx Reversion, Kidneys, Adrenal and Lung dysgenesis) syndrome is characterized by female to male sex reversal and developmental anomalies of the kidneys, adrenal glands and lungs. NCIT:C123726 OMIM:611812 SCTID:723720008 46,XX SEX reversal with dysgenesis of kidneys, ADRENALS, and lungs SERKAL syndrome UMLS:C2678492 Sex reversion-kidneys, adrenal and lung dysgenesis syndrome