TY - JOUR
T1 - Klinefelter syndrome
T2 - Expanding the phenotype and identifying new research directions
AU - Simpson, Joe Leigh
AU - De La Cruz, Felix
AU - Swerdloff, Ronald S.
AU - Samango-Sprouse, Carole
AU - Skakkebaek, Niels E.
AU - Graham, John M.
AU - Hassold, Terry
AU - Aylstock, Melissa
AU - Meyer-Bahlburg, Heino F.L.
AU - Willard, Huntingdon F.
AU - Hall, Judith G.
AU - Salameh, Wael
AU - Boone, Kyle
AU - Staessen, Catherine
AU - Geschwind, Dan
AU - Giedd, Jay
AU - Dobs, Adrian S.
AU - Rogol, Alan
AU - Brinton, Bonnie
AU - Alvin Paulsen, C.
PY - 2003/11
Y1 - 2003/11
N2 - Purpose: The purpose of this study is to summarize new data on etiology and clinical features of Klinefelter syndrome in order to derive research priorities. Methods: This study was conducted using critical reviews of selective topics, emphasizing less well-recognized clinical findings. Results and conclusions: The phenotype of the prototypic 47,XXY case is well recognized: seminiferous tubule dysgenesis and androgen deficiency. Less well appreciated is the varied expressivity of 47,XXY Klinefelter syndrome, in particular neurological/cognitive perturbations like language and behavioral problems. Effective therapies are available. Reproductive technologies allow 47.XXY men to sire offspring through intracytoplasmic sperm injection (ICSI); however, genetic counseling is complex and success is low. Behavioral and expressive language difficulties are amenable to treatment by androgen therapy and psychological help. Early treatment may be imperative for optimal outcome.
AB - Purpose: The purpose of this study is to summarize new data on etiology and clinical features of Klinefelter syndrome in order to derive research priorities. Methods: This study was conducted using critical reviews of selective topics, emphasizing less well-recognized clinical findings. Results and conclusions: The phenotype of the prototypic 47,XXY case is well recognized: seminiferous tubule dysgenesis and androgen deficiency. Less well appreciated is the varied expressivity of 47,XXY Klinefelter syndrome, in particular neurological/cognitive perturbations like language and behavioral problems. Effective therapies are available. Reproductive technologies allow 47.XXY men to sire offspring through intracytoplasmic sperm injection (ICSI); however, genetic counseling is complex and success is low. Behavioral and expressive language difficulties are amenable to treatment by androgen therapy and psychological help. Early treatment may be imperative for optimal outcome.
KW - Klinefelter syndrome
KW - Language
KW - Neurocognitive
KW - Seminiferous tubules
UR - https://www.scopus.com/pages/publications/10744225919
U2 - 10.1097/01.GIM.0000095626.54201.D0
DO - 10.1097/01.GIM.0000095626.54201.D0
M3 - Review article
C2 - 14614399
AN - SCOPUS:10744225919
SN - 1098-3600
VL - 5
SP - 460
EP - 468
JO - Genetics in Medicine
JF - Genetics in Medicine
IS - 6
ER -