{Reference Type}: Case Reports
{Title}: CHARGE syndrome with both primary and secondary hypogonadism.
{Author}: Yoshida Y;Ogawa S;Meguro S;Onagi A;Tanji R;Matsuoka K;Hoshi S;Hata J;Sato Y;Akaihata H;Kataoka M;Uemura M;Kojima Y;
{Journal}: IJU Case Rep
{Volume}: 7
{Issue}: 3
{Year}: 2024 May
暂无{DOI}: 10.1002/iju5.12694
{Abstract}: UNASSIGNED: CHARGE syndrome is a rare disorder that causes congenital abnormalities in multiple organs, including secondary hypogonadism. We report, herein, a unique case of CHARGE syndrome with both primary and secondary hypogonadism and discuss the possible causes and pathogenesis in this patient.
UNASSIGNED: A 15-year-old boy with delayed secondary sexual characteristics and non-palpable testes was referred to our hospital. Physical examination and detection of a chromodomain-helicase-deoxyribonucleic acid-binding protein 7 gene mutation confirmed CHARGE syndrome. Hormone stimulation tests suggested both primary and secondary hypogonadism. Laparoscopic bilateral orchiectomy was performed because of decreased testosterone production and atrophy in both testes. Pathological examination of the testes revealed maturation arrest, germ cell neoplasm in situ, and decreased expression of steroid synthase.
UNASSIGNED: This appears to be the first report of CHARGE syndrome with both primary and secondary hypogonadism demonstrated in endocrinological and histological examinations.