Physical symptoms vary widely from individual to individual.Symptoms range from ambiguous genitalia to true hermaphroditism to normal genitalia.46, XX/46, XY is a chimeric genetic disorder caused by having two distinct cell populations within the body.The chimerism arises in utero from the combination of an XX zygote and an XY zygote (which otherwise would have developed into twins) into a single embryo.Due to the variation, genetic testing is the only way to reliably make a diagnosis.
Diagnosing a chimera is particularly difficult due to the random distribution of 46, XX and 46, XY cells within the body.An organ might be made up of a mix of 46, XX and 46, XY, but it may also be made up entirely of one genotype only.When that is the case, no abnormalities are noted and other types of tissues need to be analyzed.The only time he would bring up the hometown arena was when he would talk about how blessed everyone was to see him live and in person ("Finally, The Rock has come back to…[name of city]! The Rock had transformed himself from a smiling glad-hander, Rocky Maivia, to a cocky, Elvis-crooning greaser that would only speak about himself in the third-person.The Rock would say things that were strangely unhip, and almost anachronistic, that wound up being so off-the-wall that they became infectious catch-phrases. The Rock would also issue warnings to one and all to "know your role" – which would then constitute, upon completion, "shutting one's mouth." The Rock's entrance-theme, which was a morphing of the old Nation of Domination theme, suddenly had pizzazz – and sound bites!