Table 1.
# | Sex | Age (y) | BMI (kg/m2) | Diagnosis | Age at Presentation (y)a | Rare Sequence Variantb | TV (mL) | Change in LH Amplitude in Response to GnRH (mIU/mL)c | Prior Hormone Treatment | Other |
---|---|---|---|---|---|---|---|---|---|---|
1 | M | 43 | 38.6 | KS | 16 | KAL1 p.L601YfsX18 | 9, 8 | 1.3 | GnRH | |
T | ||||||||||
2 | M | 59 | 29.0 | KS | 18 | None identified | 2,2 | 0.1 | GnRH | Rheumatoid arthritis |
hCG | ||||||||||
FSH | ||||||||||
T | ||||||||||
3 | M | 20 | 35.1 | KS | 14 | None identified | 2, 3 | 2.6 | hCG | |
T | ||||||||||
4 | M | 38 | 45.7 | KS | 17 | PROKR2 p.L173R | 4, 5 | 0.5 | GnRH | |
FSH | ||||||||||
T | ||||||||||
5 | M | 53 | 28.6 | KS | 25 | None identified | 2, 2 | 0.5 | GnRH | |
T | ||||||||||
6 | M | 32 | 31.9 | nIHH | 12 | FGFR1 p.[F747L; D768H] | 6, 6 | 1.4 | T | |
7 | M | 42 | 33.5 | nIHH | 16 | None identified | 10, 12 | 6.8 | hCG | |
FSH | ||||||||||
T | ||||||||||
8 | M | 47 | 28.5 | nIHH | 21 | None identified | 15, 10 | 5.9 | GnRH | |
hCG | ||||||||||
T | ||||||||||
9 | M | 22 | 22.7 | KS | 17 | FGFR1 p.G687R | 4, 5 | 4.6 | T | |
KISS1 p.C53R | ||||||||||
10 | F | 54 | 31.0 | KS | 18 | FGFR1 p.L630P | NA | 6.3 | None | Hypothyroidism |
11 | F | 22 | 30.2 | nIHH | 14 | GNRHR p.[R262Q]; [L286P] | NA | 0.3 | Estrogen/progesterone | |
OCP | ||||||||||
12d | M | 23 | 40.5 | nIHH | 19 | None identified | 15, 20 | 7.3 | T | Reversal |
Age at presentation for delayed puberty. Subjects under the age of 18 were re-evaluated after the age of 18 to confirm the diagnosis of IHH, which was further re-confirmed for subjects 1–11 through participation in this study. Subjects 3 and 6 had been followed from birth due to cryporchidism and therefore presented at an earlier age.
Variants are listed if they were predicted to be deleterious by at least three out of four prediction programs.
Change in LH amplitude in response to GnRH is peak LH - baseline LH in response to 75 ng/kg bolus of intravenous GnRH prior to pituitary priming.
This subject attained serum testosterone in normal adult range in the absence of exogenous treatment. BMI, body mass index; KS, Kallmann syndrome; nIHH, normosmic idiopathic hypogonadotropic hypogonadism; NA, not applicable; OCP, oral contraceptive pills; T, testosterone; TV, testicular volume.