Klinefelter Syndrome
Condition
(47 XXY Syndrome; KS)
Definition
Klinefelter syndrome (KS) happens in males who have more than one X chromosome (XXY).
Causes
Males usually have a single X chromosome from their mother and a single Y one from their father. Males with KS get at least one extra X from either parent.
Risk Factors
There are no known risk factors for KS.
Symptoms
Symptoms may not be found until puberty or later.
Children may have problems with:
- Speech
- Learning
- Behavior
Teens may have:
- Delayed puberty
- Enlarged breasts
Adults may have:
- Small, firm testes
- A poor sex drive or sexual problems
- Infertility
- Lack of facial and body hair
- Breast pain
- Hot flashes, sweating
- A small penis (rare)
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done.
KS is diagnosed with a genetic test. Blood tests may also be done.
Treatment
There is no cure. The goal is to manage symptoms. Options are:
- Testosterone therapy to raise low levels of this hormone
- Speech and language therapy
- Special education services
- Mental health counseling
Prevention
There are no known guidelines to prevent KS.
The Association for X and Y Chromosome Variations
National Institute of Child Health and Human Development
CANADIAN RESOURCES:
Health Canada
Canadian Psychological Association
The Association for X and Y Chromosome Variations
National Institute of Child Health and Human Development
CANADIAN RESOURCES:
Health Canada
Canadian Psychological Association
References
- Klinefelter syndrome. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/klinefelter-syndrome.
- Klinefelter syndrome (KS). National Institute of Child Health and Human Development website. Available at: https://www.nichd.nih.gov/health/topics/klinefelter.
Contributors
- Kari Kuenn, MD
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