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A historical background and development
 



Klinefelter, Henry. "A Historical Background and Development."
Southern Medical Journal, Volume 79, No. 9, September 1986.


ABSTRACT: When described more than 40 years ago, Klinefelter’s syndrome (small testes, sterility, increased excretion of follicle-stimulating hormone, and usually gynecomastia) was thought to be an endocrine disorder.  A second testicular hormone was postulated but has never been isolated.  During the ensuing years, the syndrome has been found to be a chromosomal disorder, in which there is an extra X chromosome in 80% of the patients.  The disorder occurs once in 500 to 1,000 male births and is best diagnosed by a buccal smear.  When there is androgen deficiency, it is treated with testosterone.  Gynecomastia is treated surgically because of the potential danger of malignancy or for cosmetic reasons.  5 pages.


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