HORMONAL CHANGES ASSOCIATED WITH TESTICULAR ATROPHY AND GYNAECOMASTIA IN PATIENTS WITH LEPROSY |
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| Authors: | JOHN E. MORLEY LARRY A. DISTILLER JULIUS SAGEL S. H. KOK GRAHAM KAY PETER CARR MAURICE KATZ |
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| Affiliation: | Division of Endocrinology, Department of Medicine, The University of the Witwatersrand;Department of Radioisotopes, Johannesburg General Hospital;Westford Institution, Pretoria, and Department of Obstetrics and Gynaecology, University of Cape Town, Cape Town, South Africa |
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| Abstract: | Basal LH, FSH, 17 beta-oestradiol and testosterone and the gonadotrophin responses to luteinizing hormone releasing hormone (LHRH) were studied in male patients with leprosy (twenty-four with lepromatous and six with tuberculoid leprosy). The mean basal LH and FSH was significantly elevated in the lepromatous group and was associated with an excessive response of both gonadotrophins following LHRH administration. The mean basal testosterone and 17 beta-oestradiol values in the lepromatous group were significantly lower than those of the tuberculoid and control groups. The abnormal gonadotrophin and sex steroid values in the lepromatous group are in keeping with the testicular atrophy and gynaecomastia accompanying this form of leprosy. However, the lack of a significant correlation between basal FSH and testicular atrophy should be noted. In addition, no correlation between any of these hormonal values and gynaecomastia could be demonstrated. The patients with tuberculoid leprosy had essentially normal hormonal profiles (except for two who had raised 17 beta-oestradiol values). This is compatible with the lack of gonadal involvement in these patients. |
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