A Rare Presentation of the Klinefelter's Syndrome

被引:1
|
作者
Hezarkhani, Sharabeh [1 ]
Moujerloo, Mohammad [1 ]
Sedighi, Sima [1 ]
Taheri, Negar Sadat [2 ]
机构
[1] Golestan Univ Med Sci, Dept Internal Med, Gorgan, Iran
[2] Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Iran
关键词
CRF; Occult klinefelter; Haemodialysis;
D O I
10.7860/JCDR/2012/4331.2555
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 16 years old boy with Chronic Renal Failure (CRF) was not suspected of having Klinefelter's syndrome until he complained of painful gynecomastia. He was under haemodialysis for 2 years. At first, he was in an approximately full pubertal development (P5, G5), but he had a small and a firm testis (length 2.2cm) and some degree of facial male pattern hair. He also had a decreased upper to lower body segment ratio and despite having chronic renal failure, he was taller than his parents and siblings. His laboratory tests showed high levels of FSH and normal levels of LH and testosterone. With regards to all these findings, we suspected that there might be an occult Klinefelter's syndrome. So, we made his karyotype that showed a 47XXY pattern. Because there are only a few number of cases that have occult Klinefelter's syndrome in the basis of chronic renal failure, we decided to report this case.
引用
收藏
页码:1544 / 1546
页数:3
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