Klinefelter syndrome

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

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245 Klinefelter syndrome

Instruction

Examine this patient and give us your diagnosis.

Salient features

History

• Infertility (commonest cause of male infertility)

• Mentally subnormal

• Ask about sensation of smell (to exclude Kallman syndrome).

Examination

• Male patient with eunuchoid body habitus with abnormally long legs (Fig. 245.1)

• Elongated body with an increase in length between the soles and pubic bone

• Lack of a beard, and the voice is not masculine.

image

Fig. 245.1 Patient with Klinefelter syndrome after several months of testosterone therapy. Note eunuchoidal body proportions, lack of muscular development and scant body hair after several months of testosterone therapy. Gynaecomastia has been surgically corrected.

(With permission from Rayman 2000.)

Proceed as follows:

• Tell the examiner that you would like to:

• examine the external genitalia (small atrophic testes, lack of male distribution of pubic hair)
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