DOI QR코드

DOI QR Code

A Case of Severe Pulmonary Thromboembolism in a Young Male With Klinefelter Syndrome

  • Kang, Byung-Soo (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Cho, Deok-Kyu (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Koh, Won-Jun (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Yoo, Seung-Hoon (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Won, Ki-Bum (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Cho, Yun-Hyeong (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Hwang, Eui-Seock (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine) ;
  • Koh, Jong-Hoon (Division of Cardiology, Cardiovascular Center, Myongji Hospital, Kwandong University College of Medicine)
  • Published : 2012.08.31

Abstract

A young male patient diagnosed with Klinefelter syndrome was admitted to our hospital via the emergency room with chief complaints of acute chest pain and dyspnea. Pulmonary thromboembolism was diagnosed from his chest CT images. His symptoms improved after he underwent thrombolysis and anticoagulation treatment. Klinefelter syndrome has a tendency towards hypercoagulability due to hormonal imbalance and one or more inherited thromophilic factors. Thus, Klinefelter syndrome patients with a past medical history of venous thromboembolism require continuous oral anticoagulation therapy for a period of at least six months.

Keywords

References

  1. Schwartz ID, Root AW. The Klinefelter syndrome of testicular dysgenesis. Endocrinol Metab Clin North Am 1991;20:153-63.
  2. Bojesen A, Juul S, Gravholt CH. Prenatal and postnatal prevalence of Klinefelter syndrome: a national registry study. J Clin Endocrinol Metab 2003;88:622-6. https://doi.org/10.1210/jc.2002-021491
  3. Ratcliffe S. Long-term outcome in children of sex chromosome abnormalities. Arch Dis Child 1999;80:192-5. https://doi.org/10.1136/adc.80.2.192
  4. Moon HJ, Rhim CY, Kim GW, et al. Risk factors of deep vein thrombosis and pulmonary embolism in Korean. Korean Circ J 2005;35:474-9.
  5. Campbell WA, Price WH. Venous thromboembolic disease in Klinefelter's syndrome. Clin Genet 1981;19:275-80.
  6. Bennet A, Sie P, Caron P, et al. Plasma fibrinolytic activity in a group of hypogonadic men. Scand J Clin Lab Invest 1987;47:23-7. https://doi.org/10.3109/00365518709168865
  7. Caron P, Bennet A, Camare R, Louvet JP, Boneu B, Sie P. Plasminogen activator inhibitor in plasma is related to testosterone in men. Metabolism 1989;38:1010-5. https://doi.org/10.1016/0026-0495(89)90014-0
  8. Winkler UH. Effects of androgens on haemostasis. Maturitas 1996; 24:147-55. https://doi.org/10.1016/S0378-5122(96)82004-4
  9. Lane DA, Philippou H, Huntington JA. Directing thrombin. Blood 2005; 106:2605-12. https://doi.org/10.1182/blood-2005-04-1710
  10. Sprengers ED, Kluft C. Plasminogen activator inhibitors. Blood 1987;69: 381-7.
  11. Lapecorella M, Marino R, De Pergola G, Scaraggi FA, Speciale V, De Mitrio V. Severe venous thromboembolism in a young man with Klinefelter's syndrome and heterozygosis for both G20210A prothrombin and factor V Leiden mutations. Blood Coagul Fibrinolysis 2003;14:95-8. https://doi.org/10.1097/00001721-200301000-00017

Cited by

  1. The Effect of PAI-1 Gene Variants and PAI-1 Plasma Levels on Development of Thrombophilia in Patients With Klinefelter Syndrome vol.12, pp.6, 2018, https://doi.org/10.1177/1557988318801158
  2. Massive Pulmonary Emboli in Klinefelter Syndrome: A Rare Case Report vol.11, pp.4, 2012, https://doi.org/10.5812/aapm.117808