Adrenogenitale Syndrome, in the Girl vs. Hypospadias, Severe Type
Left picture: The further clinical and additional examinations display an adrenogenital syndrome in a girl (female pseudohermaphrodidism). The hairy zone and the pigmentation which is abnormal for the age of the girl are signs of a masculinization of the external genitals and call for an especially careful clinical examination; notice for that also the picture at the bottom of the same side. Right picture: The diagnosis is a severe type of a hypospadias. The findings which are mentioned in the picture at the top in the contralateral patient are missing in this child.
Left picture: Toddler with a penis-like structure and labioscrotal folds on both sides of it having a similar pigmentation as the penis. Hairy suprapubic region. Right picture: Toddler with slack labioscrotal folds and trumpet-like structure in between. The color of the skin of the external genitals is equal to that of the neighborhood; no hair.