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Department of Medicine, University of Padova, Padova, Italy
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increased in men with primary hypogonadism and in menopausal women with osteoporosis; however, a direct effect of FSH on the bone is not easily discernible, as osteoporosis in these cases is easily attributed to low sex hormone levels. Indeed, clinical
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puberty ↑AMH Small testes (onset mid-adolescence) Adolescent usually normal testosterone, but ↑ FSH, LH Speech and behavioral problems Adult primary hypogonadism 47,XYY Tall stature FSH ↑ but not to levels in XXY normal or
Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Clinical Genetics and Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark
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Unit for Thrombosis Research, Hospital of South West Jutland and University of Southern Denmark, Esbjerg, Denmark
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Department of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark
Unit for Thrombosis Research, Hospital of South West Jutland and University of Southern Denmark, Esbjerg, Denmark
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include all ranges of KS phenotypes. The European Academy of Andrology guidelines on Klinefelter Syndrome recommends that all patients with primary hypogonadism, increased levels of gonadotropins and testis volume < 5 mL, as well as patients with non
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pseudohermaphroditism and primary hypogonadism not associated with this . Clinical Endocrinology 1992 36 521 – 522 . ( https://doi.org/10.1111/j.1365-2265.1992.tb02256.x ) 4 Latronico AC & Arnhold IJP . Gonadotropin resistance . Endocrine Development 2013 24
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concentrations in males can lead to a clinical syndrome known as male hypogonadism. This can be caused by testicular disease (primary hypogonadism) or central, pituitary, or hypothalamic disease (secondary hypogonadism). Causes can be genetic, like in Klinefelter