Presentation
Conclusion: Our present study indicates that pubertal development can occur in patients presenting with hypogonadotropic hypogonadism after 18 years of age. [ijem.in]
Presentation [ edit ] Congenital hypogonadotropic hypogonadism presents as hypogonadism, e.g., reduced or absent puberty, [1] low libido, infertility, etc. due to an impaired release of the gonadotropins, follicle-stimulating hormone (FSH) and luteinizing [en.wikipedia.org]
Acronym HH18 Keywords Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Cerebellar ataxia is present in nearly 40 percent of individuals. However, there is marked variability in the rate of progression. [disorders.eyes.arizona.edu]
If such features are present, particularly deafness, dysmorphic ears and/or hypoplasia or aplasia of the semicircular canals, CHD7 sequencing is recommended. [scienceopen.com]
Entire Body System
- Malnutrition
Androgen Insensitivity Syndrome Anorexia Nervosa CHARGE Syndrome Congenital Adrenal Hyperplasia Denys-Drash Syndrome Disorders of Sex Development Hyperprolactinemia Kallmann Syndrome and Idiopathic Hypogonadotropic Hypogonadism Klinefelter Syndrome Malnutrition [emedicine.medscape.com]
[…] puberty* Chronic illness Chronic liver disease Chronic renal insufficiency Diabetes Immunodeficiency Inflammatory bowel disease Thyroid disease Severe depression or psychosocial stressors Cranial radiation Excessive exercise Excessive weight loss or malnutrition [aafp.org]
Systemic diseases such as malnutrition, depression, nephrotic syndrome and chronic diarrhea were excluded. In all IHH patients, 203 were KS and 151 were nIHH. [ajandrology.com]
- Underweight
In women referred for primary amenorrhea and with an hormonal profile suggesting HH but without anosmia or hyposmia or identified genetic anomalies, the diagnosis of CHH must therefore only be considered with care, after ruling out underweight, eating [em-consulte.com]
Musculoskeletal
- Osteopenia
Women with hypogonadotropic hypogonadism are at a high risk of dislipidemia, urogenital disorders and osteopenia. Hormonal replacement therapy provides positive effects on BMD, lipid profile, urogenital status and well-being of these patients. [endocrine-abstracts.org]
Related symptoms: Autosomal dominant inheritance Hearing impairment Osteoporosis Osteopenia SOURCES: OMIM UMLS More info about HYPOGONADOTROPIC HYPOGONADISM 21 WITH OR WITHOUT ANOSMIA; HH21 Low match HYPOGONADOTROPIC HYPOGONADISM 19 WITH OR WITHOUT ANOSMIA [mendelian.co]
The symptoms of low testosterone in men range from lack of energy, depressed mood, loss of vitality, muscle atrophy (sarcopenia), muscles aches, low libido, erectile dysfunction, and weight gain...to bone loss (osteopenia), osteoporosis, mild anemia, [tupincho.net]
An abdominal CT and DEXA scan revealed undescended testes and osteopenia, respectively. He was diagnosed as IHH. The patient was provided with supplementary vitamin D, calcium and referrals to endocrinology and urology for orchiopexy. [omicsonline.org]
Osteopenia or osteoporosis was defined according to World Health Organization (WHO) criteria, based on BMD expressed as Z-score: osteopenia (Z-score between –1 to –2.5 SD) and osteoporosis (Z-score 19 ] Z-score is the number of standard deviations above [mjhid.org]
- Osteoporosis
Diseases related with Hearing impairment and Osteoporosis In the following list you will find some of the most common rare diseases related to Hearing impairment and Osteoporosis that can help you solving undiagnosed cases. [mendelian.co]
Osteoporosis is a common result of hypogonadism. Osteoporosis in men has been shown to increase both morbidity and mortality. [omicsonline.org]
Testosterone and osteoporosis Hypogonadism is a well-established cause of osteoporosis in men and women. [bcmj.org]
Osteopenia or osteoporosis was defined according to World Health Organization (WHO) criteria, based on BMD expressed as Z-score: osteopenia (Z-score between –1 to –2.5 SD) and osteoporosis (Z-score 19 ] Z-score is the number of standard deviations above [mjhid.org]
The symptoms of low testosterone in men range from lack of energy, depressed mood, loss of vitality, muscle atrophy (sarcopenia), muscles aches, low libido, erectile dysfunction, and weight gain...to bone loss (osteopenia), osteoporosis, mild anemia, [tupincho.net]
Psychiatrical
- Loss of Libido
Abstract History and clinical presentation: A 27-year-old man was admitted to our outpatient clinic with symptoms of loss at libido, erectile dysfunction and fatigue. [thieme-connect.com]
At presentation, patients complained of sexual dysfunction and/or fertility problems, loss of libido or infertility, and erectile or ejaculatory dysfunction (diminished erectile quality and frequency; diminished early morning erections; decreased or watery [mjhid.org]
- Withdrawn
Trial Phase, Sponsor Type and End point status The report reviews top companies involved and enlists all trials (Trial title, Phase, and Status) pertaining to the company The report provides all the unaccomplished trials (Terminated, Suspended and Withdrawn [gii.co.jp]
Neurologic
- Meningism
Viral encephalitis or meningitis. [centogene.com]
Acquired hypopituitarism may result from tumors, neoplasia, or their treatment, vascular disorders, infiltrative disorders (eg, sarcoidosis, Langerhans cell histiocytosis), infections (eg, encephalitis, meningitis), or trauma. [merckmanuals.com]
- Irritability
Symptoms Symptoms of hypogonadism can include mood changes such as irritability or increased sadness, reduced libido, low energy, fatigue, decreased muscle bulk, decreased muscle strength, muscle aches, hot flushes, decreased ability to concentrate on [bcmj.org]
The parameters assessed included positive mood responses (alert, full of pep, friendly, well/good) and negative mood responses (angry, irritable, sad or blue, tired, nervous). Weekly average scores were calculated. [care.diabetesjournals.org]
Urogenital
- Oligomenorrhea
Mild hypothyroidism is more often associated with hypermenorrhea or oligomenorrhea than with amenorrhea. [aafp.org]
[…] very mild form, CHH can be restricted to isolated chronic anovulation, whereas estradiol secretion is adequate for endometrial development and therefore associated with the existence of a single menstruation (primosecondary amenorrhea) or even chronic oligomenorrhea [em-consulte.com]
Oligomenorrhea or amenorrhea and ultrasound-evident polycystic ovaries may also be present [ 2, 9, 10 ]. Reduced fertility in female patients with CAH is often associated with excessive androgen levels. [ncbi.nlm.nih.gov]
Workup
[…] in testosterone that occurs in the afternoon.[ 4-6 ] Screening for hypogonadism in the general population is not indicated.[ 4 ] Case finding in selected circumstances is, however, acceptable, such as when testing for low testosterone is part of the workup [bcmj.org]
Serum
- Hyperprolactinemia
Women with associated hypothyroidism and/or hyperprolactinemia have to be under additional control of free thyroxin and prolactin levels. [endocrine-abstracts.org]
Medications usually raise prolactin levels to less than 100 ng per mL. 15 When hyperprolactinemia is not related to tumor, physicians should identify and treat or eliminate the underlying cause. [aafp.org]
Beta-Hydroxysteroid Dehydrogenase Deficiency 5-Alpha-Reductase Deficiency Adrenal Hypoplasia Amenorrhea Androgen Insensitivity Syndrome Anorexia Nervosa CHARGE Syndrome Congenital Adrenal Hyperplasia Denys-Drash Syndrome Disorders of Sex Development Hyperprolactinemia [emedicine.medscape.com]
Codes Adjacent To E23.0 E21.3 Hyperparathyroidism, unspecified E21.4 Other specified disorders of parathyroid gland E21.5 Disorder of parathyroid gland, unspecified E22 Hyperfunction of pituitary gland E22.0 Acromegaly and pituitary gigantism E22.1 Hyperprolactinemia [icd10data.com]
Exclusion criteria : Exclusion criteria included: 1) treatment with androgens or anabolic steroids within the last 3 months; 2) hyperprolactinemia or treatment with prolactin-lowering drugs; 3) mental illness (depression, anxiety disorders, eating disorders [mjhid.org]
Treatment
[…] men (P < 0.001). mean height of patients whose treatment began between ages 10 and 17 yr 175.0 7.8 cm, not differ significantly from that of normal men, significantly less than the height patients whose treatment began after age 18 (P < 0.005). [factpub.org]
[…] cancer in the past.[ 4, 5 ] It is the author’s opinion that a year or two after successful surgical treatment for prostate cancer and in consultation with the patient’s urologist or oncologist, testosterone treatment can be provided for carefully selected [bcmj.org]
Treatment Treatment Options: No treatment for the general disorder has been described. [disorders.eyes.arizona.edu]
These changes were apparent at 15 weeks after the start of the treatment (data not shown). There was no change in TLR-4, PTP-1B, or JNK-1 mRNA or protein after testosterone or placebo treatments (data not shown). [care.diabetesjournals.org]
Prognosis
Guild The course and prognosis of reticulsendotheliosis (eosinophilic granuloma SchullerChrstian disease and leterer-Siwe disease) Amer. J. Med, 32 (1957), pp. 636 [23.] P. Enriquez, D.C. Dahlin, A.B. Hayles, E.D. [archbronconeumol.org]
Etiology
If the patient has normal pubertal development and a uterus, the most common etiology is congenital outflow tract obstruction with a transverse vaginal septum or imperforate hymen. [aafp.org]
Restoration of spermatogenesis with pulsatile gonadotropin releasing hormone therapy in hypogonadotropic hypogonadism of traumatic etiology. Aust. N.Z. J. Med. 19: 354, 1989. PubMed CrossRef Google Scholar 3. [link.springer.com]
Zinkham Multifocal eosinophilic granuloma Natural history, etiology and management. Amer. J. Med, 60 (1976), pp. 452 [25.] Case Records of the M. G. H N. Engl J Med Case, 5 (1978), [26.] R.V. Randall, E.C. Clark, R.C. [archbronconeumol.org]
Etiology is usually unknown. Sperm counts may be slightly low if one testis is undescended but are almost always very low if both are undescended. [merckmanuals.com]
Isosexual precocity: The clinical and etiologic profile. Indian Pediatr 1993;30:607-23. [ PUBMED ] 16. Rogol AD. Pubertal androgen therapy in boys. Pediatr Endocrinol Rev 2005;2:383-90. [ PUBMED ] 17. Pozo J, Argente J. [ijem.in]
Epidemiology
Relevant External Links for IL17RD Genetic Association Database (GAD) IL17RD Human Genome Epidemiology (HuGE) Navigator IL17RD Atlas of Genetics and Cytogenetics in Oncology and Haematology: IL17RD No data available for Genatlas for IL17RD Gene Alternative [genecards.org]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
Epidemiologic studies have led to the division of febrile seizures into 3 groups, as follows: Simple febrile seizures Complex febrile seizures Symptomatic febrile seizures Children with simple febrile seizures are neurologically and developmentally healthy [centogene.com]
[…] hypogonadotropic hypogonadism Sinisi, AA; Esposito, D; Maione, L; Quinto, MC; Visconti, D; Bellis, A; Bellastella, A; Conzo, G; Bellastella, G MR evaluation of patients with congenital hyposmia or anosmia Yousem, DM; Geckle, RJ; Bilker, W; McKeown, DA; Doty, RL Epidemiology [deepdyve.com]
The epidemiology of polycystic ovary syndrome. Prevalence and associated disease risks. Endocrinol Metab Clin North Am. 1999;28:247–63. 23. Chang RJ, Katz SE. Diagnosis of polycystic ovarian syndrome. [aafp.org]
Pathophysiology
We call this primary hypogonadism. 00:53 How would you call this pathophysiologically? You would call this hypogonadism. The testis are not functioning properly. [lecturio.com]
References Seminara S B, Hayes F J, Crowley Jr W F (1998) Gonadotropin-releasing hormone deficiency in the human (idiopathic hypogonadotropichypogonadism and Kallmann's syndrome): pathophysiological and genetic considerations. [omicsonline.org]
Gonadotropin-releasing hormone deficiency in the human (idiopathic hypogonadotropic hypogonadism and Kallmann’s syndrome): pathophysiological and genetic considerations Seminara, SB; Hayes, FJ; Crowley, WF Idiopathic gonadotropin deficiency. [deepdyve.com]
Gonadotrophin secretion pattern in anorchid boys from birth to pubertal age: pathophysiological aspects and diagnostic usefulness. [frontiersin.org]
N Engl J Med 2003;349:1614-1627 Seminara SB, Hayes FJ, Crowley WF, Jr: Gonado-tropin-releasing hormone deficiency in the human (idiopathic hypogonadotropic hypogonadism and Kallmann's syndrome): pathophysiological and genetic considerations. [karger.com]
Prevention
Good dietary control may prevent the formation and progression of cataracts and it has been reported that they may regress as well but only prior to the rupture of cell membranes. [disorders.eyes.arizona.edu]
Because insulin resistance is an important risk factor for cardiovascular disease as well as type 2 diabetes, it is important to investigate this relationship for the implications it may have for prevention of and therapeutic interventions for these disorders [clinicaltrials.gov]
Surgery as needed Hormone replacement Cryptorchidism is corrected early to obviate concerns about cancer developing in later adulthood and to prevent testicular torsion. [merckmanuals.com]
While SOCS-3 interferes with insulin signal transduction by causing the ubiquitination and proteasomal degradation of IRS-1 ( 27 ), IKK-β induces serine phosphorylation of IRS-1 and thus prevents insulin signal transduction though IRS-1 ( 28 ). [care.diabetesjournals.org]
Treatment goals include prevention of complications such as osteoporosis, endometrial hyperplasia, and heart disease; preservation of fertility; and, in primary amenorrhea, progression of normal pubertal development. [aafp.org]