克氏综合征1例报告

A. Arefyeva, A. Volkova, A. Lisker, E. N. Ostroukhova, T. A. Kholudeeva
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摘要

Klinefelter综合征(KS)是一种与男性核型中额外x染色体存在相关的遗传性疾病。最常见的核型是47XXY,然而,其他遗传变异也有可能,以及镶嵌形式。临床表现为双侧男性乳房发育,睾丸体积减小和不育(无精子症)。实验室显示促性腺功能亢进症。睾酮替代疗法用于确保男性化和适当的生活质量。辅助生殖技术与初步激素准备是用来恢复生育能力。本文介绍了一个临床病例KS和考虑实现生殖计划的选择,在非阻塞性无精子症的情况下。
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Klinefelter syndrome: a case report
Klinefelter syndrome (KS) is a genetic disease associated with the presence of an extra X-chromosome in the karyotype of men. The most common karyotype is 47XXY, however, other genetic variants are also possible, as well as mosaic forms.The clinical picture is most often represented by bilateral gynecomastia, decreased in the volume testicles and infertility (azoospermia). Laboratory revealed hypergonadotropic hypogonadism. Testosterone replacement therapy is used to ensure virilization and the proper quality of life. Assisted reproductive technologies with preliminary hormonal preparation are used to restore fertility.This article presents a clinical case of KS and considers options for realization of reproductive plans in the case of non-obstructive azoospermia.
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