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核型分析显示47,XXY染色体(克兰费尔特综合征):一例报告。

Karyotype revealed 47, xxy chromosome (Klinefelter syndrome): a case report.

作者信息

Jha Chandra Bhushan, Dhungel Shaligram, Rai Dilip

机构信息

Department of Anatomy, BP Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

Nepal Med Coll J. 2007 Sep;9(3):215-6.

Abstract

The Klinefelter syndrome is most common chromosomal cause of male infertility. However, the many cases of the syndrome remain undiagnosed due to variations in clinical presentation. A patient attended to surgical OPD with complaints of loss of secondary sexual characteristics and infertility. Physical examination revealed tall stature, thin built, small testes size, and absence of beard and pubic hairs. Karyotype and biochemical tests were performed to detect chromosomal abnormality as well hormonal level to confirm the diagnosis of androgen deficiency syndrome. Chromosomal complement confirmed the case of Klinefelter syndrome (47, XXY) causing androgen deficiency. Timely detection of Klinefelter syndrome is important to formulate further treatment modalities for the benefit of the patient.

摘要

克兰费尔特综合征是男性不育最常见的染色体病因。然而,由于临床表现的差异,该综合征的许多病例仍未得到诊断。一名患者因继发性特征丧失和不育症前往外科门诊就诊。体格检查发现身材高大、体型消瘦、睾丸较小,且无胡须和阴毛。进行了核型和生化检查以检测染色体异常以及激素水平,以确诊雄激素缺乏综合征。染色体组型证实该病例为克兰费尔特综合征(47, XXY)导致雄激素缺乏。及时检测克兰费尔特综合征对于为患者制定进一步的治疗方案很重要。

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