This twenty-year-old boy presented with failure to have intercourse following marriage eunuchoid
body proportion, absence of facial and axillary hair and sparse pubic hair, high pitched voice, small sized phallus, absent libido and bilaterally descended prepubertal testes [Figure 1(a)].
proportion--arm span 2 cm or greater than height--is associated with early-onset hypogonadism that precedes fusion of the epiphyses.
In the post-pubertal male, manifestations of hypogonadism may include underdeveloped secondary sexual characteristics, decreased male pattern hair distribution (axillary, body, facial, pubic), gynecomastia, and eunuchoid
body habitus (arm span 5 cm or more greater than height).
Klinefelter individuals are tall, eunuchoid
, with little facial or body hair and have very small inactive testes.
In this study, we attempt to identify the developmental disorder responsible for his eunuchoid
The examination revealed apparent eunuchoid
status, breast development delay, and scant axillary and pubic hair.