Presentation
’s presentation : The current baseline now is to inject in FCC at 3.3 TEV from the LHC. [indico.cern.ch]
Etiology The aetiology is unknown but the combination of developmental anomalies present in patients with this syndrome is suggestive of an embryological defect in the formation of the neuroectodermal derivatives of cephalic neural crest. [orpha.net]
[…] and the mitral cells present in the olfactory bulb. [emedicine.medscape.com]
In this report, we offer a brief overview of the diagnosis and management of IHH and present the case of a 27 year old male with undiagnosed IHH. [omicsonline.org]
Entire Body System
- Precocious Puberty
JAMA 178: 449–454 CrossRef PubMed Google Scholar Partsch CJ, Japing I, Siebert R et al. (2002) Central precocious puberty in girls with Williams syndrome. [springerlink.com]
puberty, central, 1, 176400 (3)AD/AR66%42LEP(O)Obesity, morbid, due to leptin deficiency, 614962 (3)AR100%43LHB(O)Hypogonadotropic hypogonadism 23 with or without anosmia, 228300 (3)AR42%44LHCGR(O)Leydig cell hypoplasia with pseudohermaphroditism, 238320 [nature.com]
puberty, male LHCGR Premature ovarian failure type 1 FMR1 Primary aldosteronism, seizures, and neurologic abnormalities CACNA1D Proteinuria, low molecular weight, with hypercalciuric nephrocalcinosis CLCN5 Pseudohypoaldosteronism, type 1, autosomal dominant [centogene.com]
(BBC) v t e Cell surface receptor deficiencies G protein-coupled receptor (including hormone ) Class A TSHR ( Congenital hypothyroidism 1 ) LHCGR ( Luteinizing hormone insensitivity, Leydig cell hypoplasia, Male-limited precocious puberty ) FSHR ( Follicle-stimulating [en.wikipedia.org]
- Anemia
ALTRE MALATTIE DA ACCUMULO LISOSOMIALE DEFICIENZA DI CERAMIDASI ACIDA RC0100 ALTRE MALATTIE DA ACCUMULO LISOSOMIALE DEFICIENZA DI COENZIMA Q10 RCG040 DIFETTI CONGENITI DEL METABOLISMO E DEL TRASPORTO DEGLI AMINOACIDI DEFICIENZA FAMILIARE DI PIASTRINE/ANEMIA [malattierare.regione.veneto.it]
Severe diseases in the liver or kidneys, certain infections, sickle cell anemia, and some cancers also affect gonads. [encyclopedia.com]
A CELLULE FALCIFORMI (RDG010) ANEMIE EREDITARIE (RDG010) ANEMIE SIDEROBLASTICHE (RDG010) BLACKFAN-DIAMOND, ANEMIA DI (RDG010) FANCONI, ANEMIA DI (RDG010) FAVISMO (RDG010) METAEMOGLOBINEMIA DA DEFICIT DI METAEMOGLOBINAREDUTTASI (RDG010) SFEROCITOSI EREDITARIA [malattierare.toscana.it]
- Malnutrition
Most cases seem to be due to the hypogonadism of malnutrition and respond to improved control. [encyclopedia.com]
This will lead to a fall in testosterone or oestrogen levels and infertility. [13] [16] Functional hypothalamic amenorrhoea is seen in females where the HPG axis is suppressed in response to physical or psychological stress or malnutrition but is reversible [en.wikipedia.org]
Cardiovascular
- Hypertension
Presentation may include abdominal/loin pain, urinary tract infections, hematuria, enlargement of one or more cysts, failure to thrive, short stature, hypertension or renal dysfunction. [centogene.com]
Musculoskeletal
- Osteopenia
Osteopenia MedGen UID: 148180 • Concept ID: C0747078 • Disease or Syndrome Osteopenia is a term to define bone density that is not normal but also not as low as osteoporosis. [ncbi.nlm.nih.gov]
Affiliated tissues include pituitary and olfactory bulb, and related phenotypes are osteopenia and hearing impairment Disease Ontology : 12 A hypogonadotropic hypogonadism that has material basis in heterozygous mutation in the DUSP6 gene on chromosome [malacards.org]
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]
Bone density scan ( DXA ) to check for osteoporosis or osteopenia. [3] [2] Treatment [ edit ] Testosterone gel sachets, Testosterone undecanoate injection (Nebido), Human chorionic gonadotropin (hCG) injection, Menotropin injection (hMG). [en.wikipedia.org]
- Fracture
This case highlights the value of obtaining a detailed history and performing a thorough physical examination as this patient’s risk of cancer, fractures, and infertility could have been dramatically reduced with an earlier diagnosis. [omicsonline.org]
It is very important to diagnosis Kallmann syndrome as early as possible because men diagnosed after adolescence suffer from infertility and osteoporosis or even pathological bone fractures ( 3 ). [edmcasereports.com]
Although asymptomatic, patients have a greater fracture risk. Androgen or estrogen replacement therapy may prevent or ameliorate osteoporosis in men or women, respectively. [emedicine.medscape.com]
Overall this can lead to weakened, fragile bones which have a higher tendency to fracture. [en.wikipedia.org]
Workup
Diagnosis [ edit ] Diagnosing KS and other forms of CHH is complicated by the difficulties in distinguishing between a normal constitutional delay of puberty or a case of KS/CHH. [27] [4] [28] The diagnosis is often one of exclusion found during the workup [en.wikipedia.org]
Treatment
This site does not provide medical or any other health care advice, diagnosis or treatment. [shantioc.org]
It is only normally discovered when testicular volume increases while on testosterone treatment alone and testosterone levels return to normal when treatment is stopped. [en.wikipedia.org]
Treatments Used in This Disease: Testosterone Replacement Therapy in Men Drugs/Products Used in the Treatment of This Disease: Reandron ( Testosterone undecanoate ) Testogel ( Testosterone ) [myvmc.com]
DUSP6 regulation of p53 phosphorylation via ATM, could be a therapeutic target for combination with treatments involving activation of the ATM/p53 pathway. [esmoopen.bmj.com]
Patients typically require lifelong treatment and special attention to complications such as osteoporosis, infertility and type 2 diabetes mellitus ( 3 ). [edmcasereports.com]
Prognosis
Finally in silico studies from Gene Expression Omnibus and The Cancer Genome Atlas databases indicates that those NSCLC patients with low expression of DUSP6 are those with the worst prognosis. [cancerres.aacrjournals.org]
Prognosis Many forms of hypogonadism are potentially treatable and have a good prognosis. Prevention People should maintain normal body weight and have healthy eating habits to prevent anorexia nervosa. Other causes may not be preventable. [encyclopedia.com]
Early detection of the disease can significantly improve prognosis. [centogene.com]
PMID: 9829214 Prognosis Manara R, Di Nardo F, Salvalaggio A, Sinisi AA, Bonanni G, Palumbo V, Cantone E, Brunetti A, Di Salle F, D'errico A, Elefante A, Esposito F Hum Brain Mapp 2018 Jan;39(1):42-53. Epub 2017 Sep 30 doi: 10.1002/hbm.23806. [ncbi.nlm.nih.gov]
Etiology
Etiology The aetiology is unknown but the combination of developmental anomalies present in patients with this syndrome is suggestive of an embryological defect in the formation of the neuroectodermal derivatives of cephalic neural crest. [orpha.net]
J Clin Endocrinol Metab 92: 10–25 CrossRef PubMed Google Scholar Brito VN, Latronico AC, Arnhold IJ et al. (2008) Update on the etiology, diagnosis and therapeutic management of sexual precocity. [springerlink.com]
Osteoporosis MedGen UID: 776590 • Concept ID: C2911643 • Finding Etiology Manara R, Di Nardo F, Salvalaggio A, Sinisi AA, Bonanni G, Palumbo V, Cantone E, Brunetti A, Di Salle F, D'errico A, Elefante A, Esposito F Hum Brain Mapp 2018 Jan;39(1):42-53. [ncbi.nlm.nih.gov]
[…] been used to describe this group of conditions as it highlights the primary cause of these conditions and distinguishes them from other conditions such as Klinefelter syndrome or Turner syndrome which share some similar symptoms but have a different etiology [en.wikipedia.org]
Epidemiology
Summary Epidemiology So far, less than 30 cases have been described in the literature. [orpha.net]
Dtsch Arztebl Int 106: 377–382 PubMedCentral PubMed Google Scholar Gravholt CH (2004) Epidemiological, endocrine and metabolic features in Turner syndrome. [springerlink.com]
[…] fertile eunuchoidism,hypogonadotropic hypogonadism,male infantilism,male infertility in heterozygotes but normal sexual development and fertility in female heterozygotes Relevant External Links for LHB Genetic Association Database (GAD) LHB Human Genome Epidemiology [genecards.org]
Reversal is not always permanent and the precise genetic causes are not yet fully understood. [39] Epidemiology [ edit ] The epidemiology of Kallmann syndrome is not well understood. [en.wikipedia.org]
Methods Herein, we investigated epidemiological, clinical, and genetic features of KS in Finland. [ojrd.biomedcentral.com]
Pathophysiology
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]
Seminara SB, Hayes FJ, Crowley WF Jr (1998) Gonadotropin-releasing hormone deficiency in the human (idiopathic hypogonadotropic hypogonadism and Kallmann’s syndrome): pathophysiological and genetic considerations. [link.springer.com]
N Engl J Med 358: 709–715 CrossRef PubMedCentral PubMed Google Scholar Themmen APN, Huhtaniemi IT (2000) Mutations of gonadotropins and gonadotropin receptors: Elucidating the physiology and pathophysiology of pituitary-gonadal function. [springerlink.com]
"Kallmann Syndrome and Idiopathic Hypogonadotropic Hypogonadism: Background, Pathophysiology, Epidemiology". eMedicine. ^ a b Balasubramanian R, Crowley WF (March 2, 2017). "Isolated Gonadotropin-Releasing Hormone (GnRH) Deficiency". GeneReviews. [en.wikipedia.org]
A review of Kallmann syndrome: genetics, pathophysiology, and clinical management. Obstet Gynecol Surv. 2008; 63:189–194. PMID: 18279545. [ CrossRef ] [ Google Scholar ] 51. Segal TY, Mehta A, Anazodo A, Hindmarsh PC, Dattani MT. [e-sciencecentral.org]
Prevention
As current methods to prevent GvHD systemically suppress the immune system, therapies that... Read the full 378 word article Trial Subscription Get a 4-week free trial subscription to BioCentury Extra [biocentury.com]
Prevention People should maintain normal body weight and have healthy eating habits to prevent anorexia nervosa. Other causes may not be preventable. [encyclopedia.com]
This helps avoid repeated freeze-thaw cycles, as well as prevent loss of virus. To maintain accurate titer, aliquot in at least 20ul per tube. [vectorbiolabs.com]
More information Testosterone Deficiency (Primary Hypogonadism and Secondary/Hypogonadotrophic Hypogonadism) Prevention In some cases, hypogonadism is caused by genetic factors and cannot be prevented. [myvmc.com]
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]