TY - JOUR
T1 - Type 1 diabetes mellitus and klinefelter syndrome
AU - Sakurai, Teruaki
AU - Iizuka, Katsumi
AU - Kato, Takehiro
AU - Takeda, Jun
N1 - Publisher Copyright:
© 2019 The Japanese Society of Internal Medicine.
PY - 2019/1/15
Y1 - 2019/1/15
N2 - A 60-year-old male patient with type 1 diabetes mellitus (T1DM) was admitted for glycemic control. The patient exhibited abdominal adiposity, osteoporosis, and high insulin requirement (>100 U), and we suspected hypogonadism. A physical examination revealed small testes and thin pubic hair, laboratory examination found high luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels and low testosterone levels, and a chromosome analysis (47, XXY) indicated hypogonadism due to Klinefelter syndrome (KS). KS is associated with autoimmune diseases and patients positive for diabetes related auto-antibodies. In male patients with T1DM and abdominal adiposity, the concurrence of KS should be taken into consideration.
AB - A 60-year-old male patient with type 1 diabetes mellitus (T1DM) was admitted for glycemic control. The patient exhibited abdominal adiposity, osteoporosis, and high insulin requirement (>100 U), and we suspected hypogonadism. A physical examination revealed small testes and thin pubic hair, laboratory examination found high luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels and low testosterone levels, and a chromosome analysis (47, XXY) indicated hypogonadism due to Klinefelter syndrome (KS). KS is associated with autoimmune diseases and patients positive for diabetes related auto-antibodies. In male patients with T1DM and abdominal adiposity, the concurrence of KS should be taken into consideration.
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U2 - 10.2169/internalmedicine.1051-18
DO - 10.2169/internalmedicine.1051-18
M3 - Article
C2 - 30146555
AN - SCOPUS:85060024416
VL - 58
SP - 259
EP - 262
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 2
ER -