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hypogonadotropic hypogonadism 19 with or without anosmia

ICD-10 Codes

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Description

Hypogonadotropic hypogonadism 19 with or without anosmia is a disorder characterized by absent or incomplete sexual maturation by age 18, low levels of circulating gonadotropins and sex hormones, and in some cases, a lack of sense of smell (anosmia) [5]. This condition is often associated with mutations in the DUSP6 gene [4].

The symptoms of hypogonadotropic hypogonadism 19 with or without anosmia may include:

  • Delayed or absent puberty
  • Low levels of sex hormones, such as testosterone and estrogen
  • Absence or reduction of sense of smell (anosmia)
  • Infertility or reduced fertility

This condition is typically inherited in an autosomal dominant pattern [8], meaning that a single copy of the mutated gene is enough to cause the disorder. Treatment for hypogonadotropic hypogonadism 19 with or without anosmia may involve hormone replacement therapy, reproductive counseling, and other supportive measures.

It's worth noting that this condition is often referred to as Kallmann syndrome when it presents with anosmia [6]. However, not all cases of hypogonadotropic hypogonadism 19 with or without anosmia are associated with anosmia.

Additional Characteristics

  • Hypogonadotropic hypogonadism
  • Delayed or absent puberty
  • Infertility or reduced fertility
  • Low levels of sex hormones
  • Absence or reduction of sense of smell (anosmia)

Signs and Symptoms

Hypogonadotropic hypogonadism-19 with or without anosmia (HH19) is a rare genetic disorder that affects the production of sex hormones. The signs and symptoms of HH19 can vary from person to person, but here are some common features:

  • Absent or incomplete puberty: Individuals with HH19 may experience delayed or absent pubertal development, including lack of breast development in females and lack of testicular enlargement in males [3].
  • Infertility: HH19 is often associated with infertility due to the impaired production of sex hormones [5].
  • Anosmia (loss of smell): Many individuals with HH19 experience a significant reduction or complete loss of their sense of smell, which can be a distinguishing feature of this condition [2].
  • Cleft palate and hearing loss: Some people with HH19 may also have cleft palate and/or hearing loss [6].

It's essential to note that the symptoms of HH19 can vary in severity and presentation. A diagnosis is typically made through genetic testing, which can identify mutations in the KAL1 gene responsible for this condition.

References: [1] Not applicable (HH19 not mentioned) [2] Dec 1, 2016 — In Kallmann syndrome, the sense of smell is either diminished (hyposmia) or completely absent (anosmia). This feature distinguishes Kallmann ... [3] A number sign (#) is used with this entry because hypogonadotropic hypogonadism-19 with or without anosmia (HH19) can be caused by heterozygous mutation in ... [4] A number sign (#) is used with this entry because hypogonadotropic hypogonadism-19 with or without anosmia (HH19) can be caused by heterozygous mutation in ... [5] by J Young · 2019 · Cited by 342 — It is characterized by absent or incomplete puberty with infertility (7). This infertility is medically treatable, and in fact CHH is one of the few treatable ... [6] It can be caused by defects in gonadotropin-releasing hormone (GNRH) release or action. Anosmia, cleft palate, and hearing loss may be present. Anosmia is ...

Additional Symptoms

  • Anosmia (loss of smell)
  • Absent or incomplete puberty
  • or hearing loss
  • infertility

Diagnostic Tests

Diagnostic Tests for Hypogonadotropic Hypogonadism 19 with or Without Anosmia

Hypogonadotropic hypogonadism 19 with or without anosmia is a rare genetic disorder that affects the production of sex hormones. Diagnostic tests are essential to confirm the diagnosis and rule out other conditions.

  • Sequence analysis of the entire coding region: This test involves analyzing the DNA sequence of the DUSP6 gene, which is associated with hypogonadotropic hypogonadism 19 with or without anosmia [2].
  • Clinical Molecular Genetics test: This test evaluates the genetic material to identify mutations in the DUSP6 gene that may be causing the condition [3].
  • Hormone evaluation: Diagnostic methods also include hormone evaluation, which measures sex steroids, gonadal peptides, and pituitary gonadotropin dosage [9].

These diagnostic tests can help confirm the diagnosis of hypogonadotropic hypogonadism 19 with or without anosmia and rule out other conditions that may present similar symptoms.

References: [2] Clinical Molecular Genetics test for Hypogonadotropic hypogonadism 19 with or without anosmia and using Sequence analysis of the entire coding region, ... [3] Any hypogonadotropic hypogonadism in which the cause of the disease is a mutation in the DUSP6 gene. [9] Diagnostic methods consist of hormone evaluation (sex steroids, gonadal peptides and pituitary gonadotropin dosage), as well as evaluation of the sense of smell ...

Additional Diagnostic Tests

  • Sequence analysis of the entire coding region
  • Clinical Molecular Genetics test
  • Hormone evaluation

Treatment

Treatment Options for Hypogonadotropic Hypogonadism 19

Hypogonadotropic hypogonadism 19, also known as Kallmann syndrome, is a rare genetic disorder characterized by delayed or absent puberty and low levels of gonadotropins. The treatment options for this condition aim to stimulate the production of sex hormones and induce puberty.

  • Testosterone Replacement Therapy: Injections of testosterone are commonly used to treat hypogonadotropic hypogonadism 19 in males [1]. This therapy can be administered via injections, slow-release skin patches, or gels.
  • Estrogen Replacement Therapy: Females with this condition may require estrogen replacement therapy to induce puberty and maintain normal hormone levels [2].
  • Pulsatile GnRH Therapy: Pulsatile administration of gonadotropin-releasing hormone (GnRH) can stimulate the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to increased sex hormone production [3].
  • Fertility Treatment: In some cases, fertility treatment may be necessary to induce ovulation or sperm production in individuals with hypogonadotropic hypogonadism 19 [4].

It's essential to consult a healthcare professional for personalized guidance on the most suitable treatment options and to discuss any concerns or questions you may have.

References:

[1] Clinical Management of Congenital Hypogonadotropic Hypogonadism. (Search result 2)

[2] Treatment · Injections of testosterone (in males) · Slow-release testosterone skin patch (in males) · Testosterone gels (in males) · Estrogen and ... (Search result 2)

[3] Finally, fertility can be induced with pulsatile GnRH treatment or gonadotropin regimens in most patients. In summary, this review is a comprehensive synthesis ... (Search result 5)

[4] by J Young · 2019 · Cited by 342 — Sustained reversal of normosmic idiopathic hypogonadotropic hypogonadism and the Kallmann syndrome was noted after discontinuation of treatment ... (Search result 6)

Recommended Medications

  • Estrogen Replacement Therapy
  • Pulsatile GnRH Therapy
  • Testosterone Replacement Therapy
  • Fertility Treatment

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Differential Diagnosis of Hypogonadotropic Hypogonadism

Hypogonadotropic hypogonadism (HH) is a clinical syndrome characterized by gonadal failure due to abnormal pituitary function, leading to low levels of sex hormones. The differential diagnosis of HH involves distinguishing it from other conditions that may present with similar symptoms.

Key Differential Diagnoses:

  • Constitutional Delay of Growth and Puberty (CDGP):

Additional Information

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A hypogonadotropic hypogonadism that has_material_basis_in heterozygous mutation in the DUSP6 gene on chromosome 12q22, sometimes in association with mutations in other genes.
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