Document Detail


Familial Kallmann syndrome with unilateral renal aplasia.
MedLine Citation:
PMID:  1080088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
On the basis of studies in two brothers and their double first cousin, the Kallmann syndrome (KS) is discussed as an X-linked syndrome of anosmic hypogonadotropic hypogonadism. The anosmia is thought to represent agenesis or hypoplasia of the olfactory lobes, the mildest form of the alobar holoprosencephaly developmental field defect; this is supported by the finding of hypotelorism in two of the patients and their mother. The endocrine defect is thought to represent a hypothalamic abnormality of the luteinizing hormone releasing hormone; borderline normal intelligence may represent another pleio-tropic CNS manifestation of the KS gene. All three affected males had unilateral renal aplasia, associated in one with ipsilateral absence of the testis. The presence of at least two developmental field defects (involving the CNS and urogenital system) makes it likely that the KS is a true multiple congenital anomaly syndrome; this is supported by the finding of additional, mostly minor, anomalies reported by other investigators. Heterozygous females may also show manifestations of anosmia, hypogonadism, possibly even internal genital malformation; however, genetic heterogeneity of anosmic hypogonadism is possible, and for the time being it is probably better to designate sporadic female cases of anosmic hypogonadism as examples of the olfacto-genital syndrome of DeMorsier. Linkage studies are urgently needed to clear up the question of genetic heterogeneity and to help develop empiric recurrence risk figures in anosmic hypogonadism.
Authors:
J D Wegenke; D T Uehling; J B Wear; E S Gordon; J G Bargman; J S Deacon; J P Herrmann; J M Opitz
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Clinical genetics     Volume:  7     ISSN:  0009-9163     ISO Abbreviation:  Clin. Genet.     Publication Date:    1975 May-Jun
Date Detail:
Created Date:  1975-10-28     Completed Date:  1975-10-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0253664     Medline TA:  Clin Genet     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  368-81     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Child
Color Vision Defects / genetics
Eunuchism / genetics*
Female
Heterozygote
Humans
Hypogonadism / genetics*,  pathology
Kidney / abnormalities
Linkage (Genetics)
Male
Mental Retardation / genetics
Pedigree
Syndrome
Testis / pathology
Urography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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