[ @entity4810 with XXXX ].

@entity1 @entity249 @entity251 @entity4810 @entity53 @entity247 @entity22175 @entity1167 @entity2008 @entity6660 @entity3893
@entity2008 are found in a considerably high percentage of cases of @entity4810 , in particular @entity3893 . We report a case of the @entity22175 and review the literature. A 36-year-old @entity1 , a factory hand, presented with @entity249 . He was safely delivered at term as a fourth @entity1 when his father was 41 years old and his mother 38. He had no delinquent or criminal record. His height was 179 cm, weight 75 kg and distance of extended hands 184 cm. No @entity247 was noticed. Both testes were 8ml in size and growth of pubic hair and penis were normal. Severe @entity6660 was identified in semen analysis. Seminal vesiculography showed pathological dilatation of the seminal vas end. The testicular biopsy specimens revealed @entity1167 for the most part. Chromosomal analysis showed 47, @entity22175 karyotype; and, two Y-chromatin was revealed in cultured lymphocytes. Though plasma gonadotropin levels were high, @entity251 , @entity53 , prolactin, TSH, GH, T3 and T4 levels were within normal limits. Pituitary reserve function for secreting gonadotropins and Leydig cell reserve function to secrete @entity251 have been found to be almost normal.
