“…2 3 Evidence for a testis-determining locus on the Y chromosome comes from the serological detection of H-Y antigen, a cell surface component determined by phylogenetically conserved genes normally situated in the pericentric region of the human Y. 4 Not only is H-Y antigen found in the heterogametic sex (XY) of all vertebrate species examined so far,5 but its presence is associated with differentiation of the mammalian testis or ovotestis regardless of apparent karyotype (reviewed in Wachtel and Received for publication 5 13 (reviewed in Wachtel and Ohno5a). Here we report the investigation of two related H-Y negative 46,XY females both with duplication of a portion of the X short arm, thereby R Bernstein, T Jenkins, B Dawson, J Wagner, G Dewald, G C Koo, and S S Wachtel providing further evidence for the existence of regulatory elements of the X and further elucidation of the effects of disomy of the X short arm.14 Case report A 3-year-old girl (fig 1, III.2) was referred for investigation of congenital abnormalities associated with profound mental retardation.…”