Klinefelter syndrome

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)

• test the IQ: usually lower than normal, although mental disability is uncommon

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Dec 4, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Klinefelter syndrome

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