American Journal of Medical and Biological Research

Current Issue» Volume 2, Number 5 (2014)

Article

Klienfelter Syndrome Presenting as a Lifelong Anejaculation - A Case Report and Literature Review

1Department of Urology, Alexandria Faculty of Medicine, Alexandria, Egypt


American Journal of Medical and Biological Research. 2014, 2(5), 118-120
DOI: 10.12691/ajmbr-2-5-2
Copyright © 2014 Science and Education Publishing

Cite this paper:
Nader Salama. Klienfelter Syndrome Presenting as a Lifelong Anejaculation - A Case Report and Literature Review. American Journal of Medical and Biological Research. 2014; 2(5):118-120. doi: 10.12691/ajmbr-2-5-2.

Correspondence to: Nader  Salama, Department of Urology, Alexandria Faculty of Medicine, Alexandria, Egypt. Email: nadersalama58@yahoo.com

Abstract

Introduction: Klinefelter syndrome (KS) is the most common sex chromosomal anomaly with hypogonadism being a common feature in this syndrome. The ejaculate volume is about normal to low in men with this syndrome. In the present report, we describe the successful treatment of a lifelong anejaculation in a man with KS. This represents the first report of successful treatment of anejaculation in KS. Case presentation: A 24-year-old Caucasian man presented with a lifelong history of failure of ejaculation. A diagnostic work-up revealed the existence of KS and administration of human chorionic gonadotrophin restored the ejaculation. Conclusion: This case report confirms further the increased prevalence of ejaculatory disorders among men with KS in whom associated hypogonadism should be considered a cause of anejaculation. Diagnosis of KS is often delayed. Early diagnosis of the syndrome before puberty is highly recommended and desirable to maintain quality of life.

Keywords

References

[[[
[1]  Morris, J. K., Alberman, E., Scott, C. and Jacobs, P, “Is the prevalence of Klinefelter syndrome increasing?”, Eur J Hum Genet, 16, 163-170, 2008.
 
[2]  Yoshida, A., Miura, K., Nagao, K., Hara, H., Ishii, N. and Shirai, M, “Sexual function and clinical features of patients with Klinefelter's syndrome with the chief complaint of male infertility”, Int J Androl, 20, 80-85, 1997.
 
[3]  Corona, G., Petrone, L., Paggi, F., Lotti, F., Boddi, V., Fisher, A., Vignozzi, L., Balercia, G., Sforza, A., Forti, G., Mannucci, E. and Maggi, M, “Sexual dysfunction in subjects with Klinefelter’s syndrome”, Int J Androl, 33, 574-580, 2010.
 
[4]  Fukutani, K., Ishida, H., Shinohara, M., Minowada, S., Niijima, T. and Isurugi, K, “Responses of serum testosterone levels to human chorionic gonadotrophin stimulation in patients with Klinefelter's syndrome after long-term androgen replacement therapy”, Int J Androl, 6, 5-11, 1983.
 
[5]  Madgar. I, Dor. J, Weissenberg. R, Raviv. G, Menashe. Y and Levron J, “Prognostic value of the clinical and laboratory evaluation in patients with nonmosaic Klinefelter syndrome who are receiving assisted reproductive therapy”, Fertil Steril, 77, 1167-1169, 2002.
 
Show More References
[6]  Witt, M.A. and Grantmyre, J.E, “Ejaculatory failure”, World J Urol, 11, 89-95, 1993.
 
[7]  Miyagawa, Y., Tsujimura, A., Matsumiya, K., Takao, T., Tohda, A., Koga, M., Takeyama, M., Fujioka, H., Takada, S., Koide, T. and Okuyama, A, “Outcome of gonadotropin therapy for male hypogonadotropic hypogonadism at university affiliated male infertility centers: a 30-year retrospective study”, J Urol, 173, 2072-2075, 2005.
 
[8]  Corona, G., Jannini, E.A., Mannucci, E., Fisher, A.D., Lotti, F., Petrone, L., Balercia, G., Bandini, E., Chiarini, V., Forti, G. and Maggi, M, “Different testosterone levels are associated with ejaculatory dysfunction”, J Sex Med, 5, 1991-1998, 2008.
 
Show Less References

Article

Floral and Leaf Anatomy of Hibiscus Species

1Department of Botany and Ecological Studies University of Uyo, P. M. B. 1017, Uyo. Akwa Ibom State-Nigeria


American Journal of Medical and Biological Research. 2014, 2(5), 101-117
DOI: 10.12691/ajmbr-2-5-1
Copyright © 2014 Science and Education Publishing

Cite this paper:
U. A. Essiett, E. S. Iwok. Floral and Leaf Anatomy of Hibiscus Species. American Journal of Medical and Biological Research. 2014; 2(5):101-117. doi: 10.12691/ajmbr-2-5-1.

Correspondence to: U.  A. Essiett, Department of Botany and Ecological Studies University of Uyo, P. M. B. 1017, Uyo. Akwa Ibom State-Nigeria. Email: u.essiett@yahoo.com

Abstract

Comparative anatomical studies of the leaves and flowers of H. arnottianus, H. surattensis, H. acetosella and H. rosa-sinensis are described. The anisocytic stomata was the commonest followed by brachyparacytic, anomocytic, staurocytic stomata and laterocytic stomatas respectively. H. acetosella are distinguished on other species by having laterocytic stomata on both surfaces of leaves and parallel contiguous stomata are found on abaxial surface while in H. rosa-sinensis laterocytic is found only on adaxial surface. There are five different types of abnormal stomata, unopened stomatal pore, two stomata sharing one subsidiary cell, parallel contiguous stomata and aborted guard cell found in all the surfaces of the leaves and flowers. In addition parallel contiguous stomata are found on adaxial surface of H. rosa-sinensis and abaxial surface of H. arnottianus flower. H. rosa-sinensis had five-armed trichome on the abaxial surface that helps in distinguishing it from other species studied. Crystal druses are only present on both adaxial surface of H. arnottianus and H. rosa-sinensis leaf and on the abaxial surface of H. acetosella flower. The shape of epidermal cells, anticlinal cell walls, guard cell areas, stomatal index and trichomes varied. The results obtained could be used as diagnostic tool for plant identification and preparation of monograph on the species.

Keywords

References

[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[
[1]  Stace, C.A, Plant taxonomy and Biosystematic. Comtemporary Biology, First Edition, John Willey and Sons Ltd., New York, 1980, 289.
 
[2]  Wilson, F.D, A distributional and cytological survey of the presently recognized taxa of Hibiscus section Furcaria (Malvaceae). Bonplandia, 15 (1-2): 53-62, 2006.
 
[3]  Kim, K.Y, Hibiscus. In: J. L. Longe: The Gale Encydopedia of alternative Medicine Farmington, Hills, Ml; Thomson/Gale, 2005, 200-205.
 
[4]  Burkill, H.M, The useful plants of West Tropical Africa. (2nd Edition): Royal Botanic Gardens Kew. 1995, 654-670.
 
[5]  Sharma, S.N. and Sultana, S, Effect of Onosma echioides on DMBA/croton oil medicated carcinogenic response, hyperproliferation and oxidative damage in marine skin. European Journal of Cancer Prevention, 13: 40-53, 2004.
 
Show More References
[6]  Abdel-Monem, M.A., Zeinab, I.E. and Mona, F, Pharmacognostical study of Hibiscus trionum and Hibiscus rosasinensis, family Malvaceae, M.Sc. Thesis. Pharmacognosy Department, Faculty of Pharmacy, Zagzig University, Egypt, 2011, 102-108.
 
[7]  Dafallah, A.A. and Al-Mustafe, Z, Investigation of the antinflamatory activity of Acacia gilotica and Hibicus sabdariffa. The American Journal of Chinese Medicine, 24: 263-269, 1996.
 
[8]  Schdewa, G. and Khemani, T.H, Effects of some medicinal plant extract on anti-inflammatory and anti-pyretic using albino Wistar rats. Enthnopharm., 6. 78-84, 2003.
 
[9]  Pale, E., Kouda, B.M. and Nacro, M, Characterization and antioxidative scavenging activities of anthocyanins in plants of Burkina Faso, Comptes Rendus Chimie, 7 (10-11). 973: 980, 2004.
 
[10]  Hui, H., Jing, H.C., Wu, H.K. and Chau, J.W, Chempreventive properties of Hibiscus sabdariffa L on human gastric carcinoma cells through apoptosis induction and JNK/p38 MAPK signaling activation, Chemic-Biological Interactions, 165 (1). 59-75, 2007.
 
[11]  Deyanira, O., Enrique, J.F., Alejandro, Z., Armando, H.A., Jaime, T. and Laura, A, Inhibition of Angiotensin Converting Enzyme (ACE) activity by the anthocyannins delphinidin-and cyaniding-3-0-sambubiosides from Hibiscus sabdariffa, Journal of Ethnopharmacology, 127.7-10, 2010.
 
[12]  Chang, Y.C., Havang, H.P., Hsu, J.D., Yang, F. and Wang, J.C, Hibiscus antholyanins rich extract-induces apoptotic cell death in human promyelocytic leukemia cells, Toxicology and Applied Pharmacology, 205 (3). 201-2012, 2005.
 
[13]  Mishra, M., Shukla, Y.N., Jain, S.P. and Kumar, S, Chemistry and Pharmacology of some Hibiscus species, J. Med Aromat. Plant Sci., 21 (4). 1169-1186, 1999.
 
[14]  Tzu, L.L., Hui, H.L., Chang, C., Ming, C.L., Ming, C. and Chau, J.W, Hibiscus sabdariffa extract reduce serum cholesterol in men and women. Nutrition Research, 27 (3). 140-145, 2007.
 
[15]  Gilani, A.H., Bashir, S., Janbaz, K.H. and Shah, A.Z, Presence of cholinergic and calcium channel blocking activities explains the traditional use of Hibiscus rosa-sinensis in constipation and diarrhoea, Journal Ethnopharmacology, 102.94-289, 2005.
 
[16]  Levin, D.A, The role of trichiomes in plant defense. Q. Rev-Bio., 48.3-15, 1993.
 
[17]  Marquis, R.J, The selective impact of herbivory In: Fritz, R.S. and Simms, E.L, (eds.), Plant Resistance to Herbivores and Pathogens; Ecology, Evolution and Genetics, University of Chicago Press, Chicago, 1992, 301-325.
 
[18]  Hare, J.D. and Smith, J.L, Competition, herbivory and reproduction of trichomes phenotypes of Datura Wright II. Ecd., 86,334-339, 2005.
 
[19]  Ehleringe, J, Ecology and ecophysiology of leaf rebescence in North American desert plants. In: Rodregues E, Healey PL and Mehita I (Eds), Biology and chemistry of plant trichomes, Plenum Press, New York, 1984, 114-132.
 
[20]  Larcher, W, Physiological Plant Ecology. Springerverlag, Berlin, 2001, 100-109.
 
[21]  Yan-Ming, F. and Ru-Wen, F, Variation and Evolution of Leaf trichomes in Chinese Hamamelidaceae. Acta. Phytotaxon. Sin., 31.147-152, 1993.
 
[22]  Spring, O, Chemotaxonomy based on Metabolites from Glandular Trichomes. Adv. Bot. Res., 31. 152-174, 2000.
 
[23]  Rao, S.R.S. and Ramayya, N, Structure Distribution and Taxonomic Importance of Trichomes in the Indian Species of Malvastrum. Phytomorphola; 24. 40-44, 1977.
 
[24]  Adedeji, O. and Illoh, H.C, Comparative foliar anatomy of ten species in the genus Hibiscus Linn. In Nigeria. New Bot., 31.147-180, 2004.
 
[25]  Nwachuhwu, L. and Mbagwu, G, Anatomical features of the roots and leaves of Hibiscus rosa-sinensis and Abelmoschus esculenta. Plant Sci., 3. 224-227, 2007.
 
[26]  Priya, V.D., Ninan, C.A. and Kothari, N.M, Stomatal variations in cultivars of Hibiscus rosa-sinensis L. Biodiversity Conservation, 9.129-134, 2008.
 
[27]  Franceschi, V.R. and Horner, H.T, Calcium Oxalate crystals in plants. Bot. Rev., 46. 361-427, 1980.
 
[28]  Wang, Z.Y., Gould, K.S. and Patterson, K.J, Structure and development of Mucilage-crystal Idioblasts in the roots of five Actinidia species. Int. J. Plant Sci., 155. 342-349, 1994.
 
[29]  Essiett, U.A, Biosystematic studies of some Nigerian Dioscorea species. Unpublished Ph. D. Thesis, Department of Botany and Microbiology, University of Uyo, Uyo, Nigeria. 2004.
 
[30]  Essiett, U.A. and Akpabio, K.E, The Comparative Anatomy of Talinum triangulare and Talinum portulacifolium in Nigeria. Academic and Scientific Research Institute Publication. Int. J. Biotechnol and Allied Sci, 4 (1). 424-432, 2009.
 
[31]  Dehnel, G.S, Response of Stomata to Wounding. Botanical Gazette, 122. 124-130, 1960.
 
[32]  Metcalfe, C.R. and Chalk, L, Anatomy of Dicotyledons, 2nd Edition. Vol.1, Oxford University Press, London, 1979, 276.
 
[33]  Akpabio, K.E., Essiett, U.A. and Nwokafor, B.N, The taxanomic significance of certain anatomical variation among the Asteraceae. Nigerian Journal of Botany, 20 (1). 149-155, 2007.
 
[34]  Stace, C.A, Plant taxonomy and Biosystematic. Comtemporary Biology, First Edition, John Willey and Sons Ltd., New York, 1980, 289.
 
[35]  Illoh, H.C. and Inyang, U.E, Foliar Epidermis and Petiole Anatomy in some Nigeria Solanum Linn. Species in the sub-genus Leptostemonum (Bitt). Dun. Glimpses in Plant Research, 12. 73-86, 1998.
 
[36]  Isawumi, M.A, Epidermal studies in the species of Jatropha L. (Euphorbiaceae) found in Nigeria. Nigeria Journal of Botany, 23. 94-100, 1986.
 
[37]  Abdulrahaman, A.A. and Oladele, F.A, Stomatal size, Density and index in some vegetable species in Nigeria. Nigeria Journal of Botany, 16. 144-150, 2003.
 
[38]  Amos, G.I, Some Siliceous timbers of Bitter Guyana. Caribb. For., 12. 133-137, 1951.
 
Show Less References