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Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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Klinefelter Syndrome is an inherited disorder of the sex chromosome in which an extra X chromosome is present (XXY)
Klinefelter syndrome is a genetic disorder that happens in males with an extra X chromosome.
It happens in males and is linked with hypo-gonads and infertility.
Klinefelter syndrome happens in about 1 out of 500 to 1,000 baby boys.
Cause
Normal people have 46 chromosomes.
Chromosomes hold all of the genes and DNA, the building blocks of the body.
The 2 sex chromosomes (X and Y) decide if the baby becomes a boy or a girl.
Girls normally have 2 X chromosomes.
Boys normally have 1 X and 1 Y chromosome.
Klinefelter syndrome occurs when a boy is born with at least 1 extra X chromosome.
Normally, this happens due to 1 extra X chromosome.
This is recorded as XXY.
The testis formation is involved leading to hypo-gonadism and low testosterone secretion.
Symptoms may be:
1. Disproportionate body appearances (long legs, short trunk, shoulder equal to hip size)
2. Abnormally large breasts in boys (gynecomastia) in 50 per cent
3. Infertility
4. Sexual problems - Sexual desire and ability to have erections impaired
5. Penis is small
6. Testes are small, insensitive and firmer than usual
7. Less than normal amount of pubic, armpit, and facial hair
8. Tall height
9. Weaker muscles
10. Language learning or reading impairment may be present
Diagnosis of Klinefelter Syndrome is often based on
1. Medical examination of appearance
2. Buccal smear for cells to test for chromosones
3. Karyotyping (checking the chromosomes)
4. Semen count
Blood tests will be done to check hormone levels such as:
5. Blood test for testosterone (low),
6. Blood follicle stimulating hormone (raised),
7. Blood luteinizing hormones (raised or normal)
8. Blood estradiol, a type of estrogen (raised)
9. Urinary gonadotropins are raised due to abnormal Leydig cell function
Treatment should focus on 3 major facets of the syndrome:
1. Hypo-gonadism,
2. Gynecomastia, and
3. Psychosocial problems
1. Male hormone treatment (testosterone) can help:

a. Grow body hair
b. Improve appearance of muscles
c. Improve concentration
d. Improve mood and self esteem
e. Increase energy and sex drive
f. Increase strength
In most cases testosterone is started at puberty, around age 12 years
Regular testosterone injections can also:
a. Increase strength and facial hair growth;
b. Improve a more muscular body type;
c. Raise sexual desire;
d. Enlarge the testes;
e. Improve mood, self-image, and behavior; and
f. Protect against precocious osteoporosis.
Testosterone therapy does not treat infertility or gynecomastia
Speech, physical and behavioral therapy helps.
Physical therapy is advised for boys with hypo-tonia or delayed gross motor skills that may involve muscle tone, balance, and coordination.
Occupational therapy is advised in boys with motor dyspraxia (a developmental disorder of the brain in childhood causing difficulty in activities requiring coordination and movement).

TABLE OF CONTENT
Introduction
Chapter 1 Klinefelter Syndrome
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Lynch Syndrome
Chapter 8 Marfan Syndrome
Epilogue

LanguageEnglish
PublisherKenneth Kee
Release dateApr 21, 2017
ISBN9781370084647
Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Klinefelter Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Klinefelter Syndrome,

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2017 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Klinefelter Syndrome, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What You Need to Treat Klinefelter Syndrome)

    This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical conditions.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Klinefelter Syndrome

    What is Klinefelter Syndrome?

    Klinefelter Syndrome is an inherited disorder of the sex chromosome in which an extra X chromosome is present (XXY)

    Klinefelter syndrome is a genetic disorder that happens in males with an extra X chromosome.

    It happens in males and is linked with hypo-gonads and infertility.

    Klinefelter syndrome happens in about 1 out of 500 to 1,000 baby boys.

    What is the Cause of Klinefelter Syndrome?

    Cause

    Normal people have 46 chromosomes.

    Chromosomes hold all of the genes and DNA, the building blocks of the body.

    The 2 sex chromosomes (X and Y) decide if the baby becomes a boy or a girl.

    Girls normally have 2 X chromosomes.

    Boys normally have 1 X and 1 Y chromosome.

    Klinefelter syndrome occurs when a boy is born with at least 1 extra X chromosome.

    Normally, this happens due to 1 extra X chromosome.

    This is recorded as XXY.

    Women who get pregnant after age 35 tend slightly more likely to have a boy with this syndrome than younger

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