Notes
Outline
Klinefelter syndrome: an overview
Problems
Different age groups in the Association
Everyone's experience will be different
Individuals with KS are as  unique as anyone else in the population
Impossible to give a talk everyone in the room will identify with
Aims
Brief historical background
Some basic genetics
Basic medical information and developmental progress
Questions
Historical Background
The pattern was first described by Dr Harry Klinefelter and his co-workers in 1942 in 9 men with fertility problems
The correct chromosome number (46) in human cells was not discovered until 1956
The genetic basis of Klinefelter syndrome was discovered in 1959
Chromosomes, DNA and genes
Chromosomes and genes
Genetics
There are many variations from this standard pattern
At least 1 in 500 individuals in the general population will have a variation which can be seen down a microscope
Variations in the pattern of sex chromosomes are particularly common
Any baby with a Y chromosome is male
At least 1 in 1000 boys are born with an XXY pattern also known as KS
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How does this come about?
Each parent gives a half set of genetic information to their child i.e. one of each chromosome pair
This means that when we are making egg or sperm cells we need to halve our genetic information to put into each cell
Its actually quite common for some egg or sperm cells to be made which have a missing, or extra chromosome
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Medical information
Many individuals with KS are never diagnosed because they have no medical problems
The reason the chromosome test is requested does tend to divide individuals with KS into different groups
For example, a man who goes to a fertility clinic is less likely to have had any problems at school
Common ages at diagnosis
On routine amniocentesis
During school years
At puberty
In a fertility clinic
Development
Early milestones are usually within normal limits but speech may be slower. Speech therapy can be very helpful in this situation
Other aspects of learning such as reading and writing may benefit from more one to one help
Important to remember that intelligence in the general population falls over a wide range and the same is true in KS
Medical information
Individuals with KS are no more prone to congenital problems than other boys
They are often several inches taller than would be expected for their family
They may have a tendency to put on weight easily
Individuals with KS go into puberty normally but may not keep pace with their peers
Medical information
Some breast development is common in all teenage boys but this is increased in KS
In the majority of boys this resolves without treatment but a small number will want excess tissue removed
Most men with KS will not be fertile but they do have normal relationships
There are options open to them in terms of having children and these are changing over time
Where does the Clinical Genetics Service fit in?
We see many families/ individuals where a diagnosis has been made
We give information and advice
Referral on to appropriate specialists in your area e.g. paediatricians, endocrinologists, fertility clinics
Open door policy for follow up as new questions arise
Receive referrals from GPs and hospital doctors
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