24下列激素分析的結果何者較可能是陳先生的報告? (註:正常值:FSH:1~8 mIU/mL;LH:2~12 mIU/mL;testosterone:3~10.7 ng/mL)
(A)FSH:25 mIU/mL;LH:35mIU/mL;testosterone:2.5 ng/mL
(B)FSH:3 mIU/mL;LH:2.5 mIU/mL;testosterone:5.5 ng/mL
(C)FSH:2.5 mIU/mL;LH:2.5 mIU/mL;testosterone:5.5 ng/mL
(D)FSH:0.1 mIU/mL;LH:0.1 mIU/mL;testosterone:0.3 ng/mL

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統計: A(124), B(3), C(2), D(33), E(0) #812384

詳解 (共 3 筆)

#2888524

1.  Primary hypogonadism:睪丸製造 testosterone 和精子不給力,工廠本身問題。常見原因:Cryptorchidism 隱睪、Chromosomal abnormalities(如 Klinefelter's syndrome,XXY)、精索靜脈曲張、mumps orchitis 腮腺病毒引起睪丸炎、trauma 等等。 

2.  Secondary hypogonadism:上游缺乏 GnRH, FSH 或 LH 的刺激,造成 testosterone 不分泌、精子不製造,這是上頭沒給訂單的問題。常見原因:Isolated gonadotropin deficiency (Kallmann's syndrome, at least 25 different genes have been implicated in causing Kallmann syndrome)(腦下垂體發育異常)、Pituitary insufficiency (tumors, infiltrative processes, operation, radiation)、  Hyperprolactinemia  泌乳素分泌過多等等。 

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#2598774
Klinefelter syndrome...
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#5255146
找 testosterone 太低但 L...
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