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Table 4 Abnormalities associated with Klinefelter syndrome and hyperglycemia combined PUMCH center and previous case reports

From: Glucose metabolic disorder in Klinefelter syndrome: a retrospective analysis in a single Chinese hospital and literature review

Characteristics

Patients (n = 21)

Age

27.75 ± 11.8

Clinical features

 Decreased testosterone levels

16 out 16 (100.0%)

 Increased gonadotropin levels

15 out 16 (93.8%)

 Infertility

7 adults with recording

 Small testicles (adults)

10 out 12 (83.3%)

 Decreased pubic hair (adults)

8 out 9 (88.9%)

 Gynecomastia

4 out 14 (28.6%)

 Behavioral and intelligence problems

5 out 16 (31.3%)

 Delayed secondary sexual characteristics

7 out 11 (63.6%)

 Cryptorchidism

3 out 15 (20.0%)

 Obesity

9 out 18 (50.0%)

 Hypertension

8 out 15 (53.3%)

 Hyperglycemia

9 out 13 (69.2%)

 Karyotype

10 out 14 (71.4%), 47 XXY; 2/14 (14.3%), 46 XY/47 XXY; 2 out 14 (14.3%), 49 XXXXY

 Prediabetes

3 out 21 (14.3%)

 Diabetes mellitus

18 out 21 (85.7%)

 Insulin resistance parameters

8 out 10 (80.0%)

  1. Abbreviations: PUMCH Peking Union Medical College Hospital
  2. Insulin resistance was defined as HOMA≥2.5. HOMA was calculated as a measure of insulin resistance as follows: [fasting blood glucose (mmol/L) × fasting insulin (μIU/mL)]/22.5