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睾酮治疗一名表现出攻击性的XXYY男性:病例报告。

Testosterone treatment of an XXYY male presenting with aggression: a case report.

作者信息

Sourial N, Fenton F

机构信息

McGill University, Montreal, Quebec.

出版信息

Can J Psychiatry. 1988 Dec;33(9):846-50. doi: 10.1177/070674378803300912.

DOI:10.1177/070674378803300912
PMID:3145801
Abstract

A hypogonadal male with 48 XXYY Karyotype--a rare Klinefelter's syndrome variant--is presented with review of the literature. Cautious initiation of testosterone replacement therapy to our patient was associated with sexual maturation and, interestingly enough, disappearance of his longstanding aggressive fantasies and behaviors towards females. An explanatory hypothesis is proposed and clues for early detection of the syndrome are suggested.

摘要

本文报告了一例核型为48 XXYY的性腺功能减退男性——一种罕见的克兰费尔特综合征变体,并对相关文献进行了综述。谨慎地对我们的患者开始睾酮替代治疗,与性成熟相关,有趣的是,他长期以来对女性的攻击性幻想和行为也消失了。本文提出了一个解释性假说,并给出了该综合征早期检测的线索。

相似文献

1
Testosterone treatment of an XXYY male presenting with aggression: a case report.睾酮治疗一名表现出攻击性的XXYY男性:病例报告。
Can J Psychiatry. 1988 Dec;33(9):846-50. doi: 10.1177/070674378803300912.
2
Effects of depot testosterone therapy on serum levels of luteinizing hormone and follicle-stimulating hormone in patients with Klinefelter's syndrome and hypogonadotropic eunuchoidism.长效睾酮治疗对克兰费尔特综合征和低促性腺激素性类无睾症患者血清促黄体生成素和促卵泡生成素水平的影响。
J Clin Endocrinol Metab. 1974 Nov;39(5):856-64. doi: 10.1210/jcem-39-5-856.
3
Modulation of the gonadotropin response to constant luteinizing hormone-releasing hormone infusion by acute and chronic testosterone administration in Klinefelter's syndrome.在克兰费尔特综合征中,通过急性和慢性给予睾酮对促性腺激素对持续输注促黄体生成素释放激素的反应进行调节。
J Clin Endocrinol Metab. 1979 Jan;48(1):148-52. doi: 10.1210/jcem-48-1-148.
4
Gonadotropin dynamics in Klinefelter's syndrome.克兰费尔特综合征中的促性腺激素动态变化
Reproduccion. 1975 Jan-Mar;2(1):7-12.
5
Testosterone replacement therapy and prostate/seminal vesicle volume in Klinefelter's syndrome.克兰费尔特综合征中的睾酮替代疗法与前列腺/精囊体积
Arch Androl. 1989;22(3):245-9. doi: 10.3109/01485018908986780.
6
Responses of serum testosterone levels to human chorionic gonadotrophin stimulation in patients with Klinefelter's syndrome after long-term androgen replacement therapy.长期雄激素替代治疗后克氏综合征患者血清睾酮水平对人绒毛膜促性腺激素刺激的反应。
Int J Androl. 1983 Feb;6(1):5-11. doi: 10.1111/j.1365-2605.1983.tb00319.x.
7
Klinefelter syndrome with low gonadotropin levels.伴有低促性腺激素水平的克兰费尔特综合征
BMJ Case Rep. 2015 Dec 29;2015:bcr2015213333. doi: 10.1136/bcr-2015-213333.
8
Elevated testosterone-binding globulin in Klinefelter's syndrome.克兰费尔特综合征中睾酮结合球蛋白升高。
J Clin Endocrinol Metab. 1980 Nov;51(5):1199-200. doi: 10.1210/jcem-51-5-1199.
9
[Effect of testosterone preparations on the function of the hypothalamic pituitary axis in Klinefelter's syndrome].[睾酮制剂对克兰费尔特综合征下丘脑-垂体轴功能的影响]
Zhonghua Nei Ke Za Zhi. 1989 May;28(5):290-4, 315.
10
Klinefelter's syndrome with hypogonadotrophic hypogonadism.克兰费尔特综合征伴低促性腺激素性性腺功能减退
Br Med J. 1977 Jan 22;1(6055):212. doi: 10.1136/bmj.1.6055.212.

引用本文的文献

1
Macular hypoplasia and high myopia in 48, xxyy syndrome: a unique case of 48, xxyy syndrome that presents with high myopia and macular dysplasia.48,XXYY综合征中的黄斑发育不全和高度近视:一例表现为高度近视和黄斑发育异常的48,XXYY综合征独特病例。
BMC Ophthalmol. 2024 Apr 23;24(1):186. doi: 10.1186/s12886-024-03456-z.
2
Sex Hormones and Lung Inflammation.性激素与肺部炎症。
Adv Exp Med Biol. 2021;1304:259-321. doi: 10.1007/978-3-030-68748-9_15.
3
Retinal dysfunction and high myopia in association with 48,XXYY syndrome.视网膜功能障碍与高度近视伴48,XXYY综合征
Doc Ophthalmol. 2013 Dec;127(3):245-7. doi: 10.1007/s10633-013-9406-x. Epub 2013 Sep 19.
4
48,XXYY, 48,XXXY and 49,XXXXY syndromes: not just variants of Klinefelter syndrome.48,XXYY、48,XXXY 和 49,XXXXY 综合征:不仅仅是克莱恩费尔特综合征的变异型。
Acta Paediatr. 2011 Jun;100(6):851-60. doi: 10.1111/j.1651-2227.2011.02235.x. Epub 2011 Apr 8.
5
48,XXYY in a General Adult Psychiatry Department.综合成人精神科的48,XXYY(核型)
Psychiatry (Edgmont). 2010 Mar;7(3):32-6.
6
A new look at XXYY syndrome: medical and psychological features.XXYY综合征新视角:医学与心理特征
Am J Med Genet A. 2008 Jun 15;146A(12):1509-22. doi: 10.1002/ajmg.a.32366.