Klinefelter syndrome: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Klinefelter syndrome: management. Luteinising hormone (LH): this is raised. Fully referenced neurology checklist.

Blood tests

  • Luteinising hormone (LH): this is raised
  • Follicular stimulating hormone (FSH): this is raised
  • Testosterone: this is low or low-normal
  • Vitamin D
  • Calcium

Karyotyping: indications

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Magnetic resonance imaging (MRI) brain features

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Other tests

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Annual monitoring assessments and tests

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Treatment

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References

  1. Zitzmann M, Aksglaede L, Corona G, et al. European academy of andrology guidelines on Klinefelter syndrome. Endorsing Organization: European Society of Endocrinology. Andrology 2021; 9:145-167. 
  2. Groth KA, Skakkebæk A, Høst C, Gravholt CH, Bojesen A. Clinical review: Klinefelter syndrome-a clinical update. J Clin Endocrinol Metab 2013; 98:20-30.
  3. Blevins CH, Wilson ME. Klinefelter’s syndrome.  BMJ 2012; 345:e7558.
  4. Coutinho E, Pereira JP, Dias D, et al. Tremor and white matter lesions in Klinefelter syndrome. Mov Disord. 2010; 25:1993-1994.
  5. Harlow TL, Gonzalez-Alegre P. High prevalence of reported tremor in Klinefelter syndrome. Parkinsonism Relat Disord 2009; 15:393-395.
  6. And 3 more. Subscribe to see the full list

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