A case of hypogonadotrophic hypogonadism causing lumbar stress fracture

A 57-year-old man was referred to our hospital for further evaluation on hypogonadotrophic hypogonadism causing a stress fracture of the 4th lumbar vertebrae. Azoospermia had been pointed out at the age 30, but hormonal evaluation had not been performed. Physical examination revealed an eunuchoidal...

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Bibliographische Detailangaben
Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 50(2004), 12 vom: 25. Dez., Seite 877-9
1. Verfasser: Yoshinaga, Atsushi (VerfasserIn)
Weitere Verfasser: Hayashi, Tetsuo, Ishii, Nobuyuki, Ohno, Rena, Terao, Toshiya, Kamata, Shigeyoshi, Watanabe, Toru, Yamada, Takumi
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2004
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Gonadotropins, Pituitary Testosterone 3XMK78S47O
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520 |a A 57-year-old man was referred to our hospital for further evaluation on hypogonadotrophic hypogonadism causing a stress fracture of the 4th lumbar vertebrae. Azoospermia had been pointed out at the age 30, but hormonal evaluation had not been performed. Physical examination revealed an eunuchoidal body proportion, a stretched phallus length of 4 cm and bilateral scrotal testes of 6 ml. Hormonal evaluation demonstrated a testosterone level of 13 ng/dl (normal, 320 to 1,030 ng/dl), a luteinizing hormone of 0.2 mU/ml (normal, 1.8 to 9.2 mU/ml) and a follicular stimulating hormone of 1.0 mU/ml (normal, 1.6 to 10.7 mU/ml). Results of a stress test of gonadotrophin-releasing hormone was a low delay type. Computerized tomography showed no abnormality in the hypothalamic-pituitary region. The patient was treated with the substitution therapy of androgen. The therapy was discontinued 6 months later because of severe nipple pain. We should perform hormonal evaluation and other examinations for male infertility 
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700 1 |a Ohno, Rena  |e verfasserin  |4 aut 
700 1 |a Terao, Toshiya  |e verfasserin  |4 aut 
700 1 |a Kamata, Shigeyoshi  |e verfasserin  |4 aut 
700 1 |a Watanabe, Toru  |e verfasserin  |4 aut 
700 1 |a Yamada, Takumi  |e verfasserin  |4 aut 
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