Klinefelter's syndrome (KS)
"Mr. K-LINE FELT Some Bar Guys"
- Male phenotype
- Karyotype, most common is 47,XXY
- Long stature
- Infertility, Incidence: 1 in 1000 men
- Nondisjunction of sex chromosomes
- Eunuchoid body proportions
- FSH elevated, scanty Facial & axillary hair
- Estradiol/testosterone ratio elevation
- LH elevated, Leukemias (increased risk for AML) & breast tumors, Learning disability
- Testosterone reduced, small (hyalinized) Testes & penis
- Secondary sexual characters absent
- Barr body +ve
- Gynecomastia
"FEL" of FELT deals with hormonal status in KS. Normally, LH induces testosterone synthesis which by feedback inhibition reduces LH & FSH secretion from anterior pituitary. In KS, as testoterone level is low, there is no feedback inhibition and level of LH & FSH rises. Also low testosterone leads to failure of male secondary sexual characters development (small testis & penis) and the increase in estradiol (high estradiol/testosterone ratio) causes gynecomastia.

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And I was just wondienrg about that too!