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Testotoxicosis

Orpha number ORPHA3000
Synonym(s) Familial gonadotropin-independent male-limited sexual precocity
Male limited precocious puberty
Prevalence 1-9 / 1 000 000
Inheritance
  • Autosomal dominant
Age of onset Childhood
ICD-10
  • E30.1
OMIM
UMLS
  • C0342549
  • C1504412
MeSH
  • C536961
MedDRA
  • 10063654
  • 10063656
SNOMED CT
  • 237818003

Summary

Familial, gonadotropin-independent, male-limited sexual precocity is a rare affection leading to precocious signs of puberty in boys (between 2 and 5 years of age). Patients display increased testosterone secretion but decreased secretion of gonadotropins, even after stimulation with luteinizing hormone-releasing hormone (LHRH). The condition may be sporadic or transmitted as a dominant trait; its expression is limited to males. The diagnosis excludes the other causes of precocious puberty with low levels of gonadotropins (adrenal tumors, testicular Leydig cell tumors, adrenal enzymatic blocks, human chorionic gonadotropin (HCG)-secreting tumors, occult intake of androgens). The diagnosis is confirmed by the discovery of a specific mutation activating the LH receptor. Treatment consists of reducing hyperandrogenism in children (sexual maturation, stature), with ketoconazole or a combination of spironolactone/aromatase inhibitors.

Expert reviewer(s)

  • Pr Jean-Claude CAREL

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