Kallmann's Syndrome

Genetic disorder that causes that causes hypogonadotropic hypogonadism and an impaired sense of smell

Aetiology

  • >20 gene mutations reported
  • Inheritance pattern depends on mutation
  • Occurs in males and females but higher incidence in males

Clinical presentation

  • Hypogonadism
  • Hyposmia/anosmia
  • Isolated GnRh deficiency also associated with other abnormalities:
    • Unilateral renal agenesis
    • Red-green colour blindness
    • Cleft lip/palate
    • Bimanual synkinesis

Investigations

  • Hormone testing
  • Olfactory function testing
  • Genetic testing

Management

  • Hormone replacement therapy