Klinefelter综合征合并2型糖尿病一例
发布时间：2018-09-17 16:22
【摘要】：患者男,28岁,主因"体重下降3年,发现血糖高伴性功能障碍1年"于2016年3月29日就诊入院。1年前因"龟头炎"就诊时发现血糖高,诊断为糖尿病,目前口服二甲双胍控制血糖。入院查体:身材瘦长,体重86.5 kg,身高185 cm,指尖距182.8 cm,皮肤白净细腻,无胡须,喉结不明显,阴毛腋毛稀疏,乳房发育,阴茎短小;两次精液常规检查均无法获得标本;彩超提示双侧睾丸体积偏小;化验检查促性腺激素高于正常而睾酮低于正常;染色体核型47XXY,诊断Klinefelter综合征(KS)合并T2DM。
[Abstract]:The patient, 28 years old, was admitted to hospital on March 29, 2016 because of "3 years of weight loss, 1 year of hyperglycemia and sexual dysfunction." he was diagnosed with diabetes a year ago because of "tortoise inflammation." Metformin is currently administered orally to control blood sugar. Admission examination: thin stature, weight 86.5 kg, height 185 cm, fingertip distance 182.8 cm, skin white delicate, no beard, laryngeal node is not obvious, pubic axillary hair sparse, breast development, penis short, two semen routine examination can not obtain the specimen; Color Doppler ultrasound showed that the testis of both sides were small, gonadotropin was higher than normal, testosterone was lower than normal, and chromosome karyotype was 47XXY. the diagnosis of (KS) with T2DM in Klinefelter syndrome.
【作者单位】： 包头医学院第一附属医院内分泌科;
【分类号】：R587.1;R596.1
本文编号：2246470
[Abstract]:The patient, 28 years old, was admitted to hospital on March 29, 2016 because of "3 years of weight loss, 1 year of hyperglycemia and sexual dysfunction." he was diagnosed with diabetes a year ago because of "tortoise inflammation." Metformin is currently administered orally to control blood sugar. Admission examination: thin stature, weight 86.5 kg, height 185 cm, fingertip distance 182.8 cm, skin white delicate, no beard, laryngeal node is not obvious, pubic axillary hair sparse, breast development, penis short, two semen routine examination can not obtain the specimen; Color Doppler ultrasound showed that the testis of both sides were small, gonadotropin was higher than normal, testosterone was lower than normal, and chromosome karyotype was 47XXY. the diagnosis of (KS) with T2DM in Klinefelter syndrome.
【作者单位】： 包头医学院第一附属医院内分泌科;
【分类号】：R587.1;R596.1
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