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患儿许×,男,8岁,住院号834715。于83年8月8日以全身多毛,嗓音变粗4月余收住。患儿自感全身无不适,无多饮,多尿,头痛等。系第二胎顺产,母乳喂养,4个月会坐,1岁3个月会走。4岁患“肾炎”治愈。父母非近亲结婚。否认遗传病史。其姐智力,体格发育均较落后。查体:外貌呈成年男子型,性格幼稚,头围55cm,胸围68cm,身高135cm,下部量61cm,坐高74cm,体重30.5kg。智力正常,声粗似成人。面部、四肢、躯干多毛,喉结明显,阴茎,阴囊呈成人型,阴毛多而粗。化验:血胆固醇,血尿便常规,尿17羟,尿17酮均正常。肾功能测定正常。血清T_42.0ug％,甲状腺IB~1吸收率略低。颅骨正侧位片(片号:43441)见颅骨内外板障骨质完整,蝶鞍大小正常,前床突似见骨质疏松略模糊。腹膜后充气造影加断层;两侧肾,肾上腺均无
Children × ×, male, 8 years old, hospital number 834715. On August 8, 83 with body hairy, thick voice more than 4 months to accept. Childhood self-inductance body no discomfort, no drink, polyuria, headache and so on. Department of second child delivery, breastfeeding, 4 months will sit, 1 year old 3 months will go. 4-year-old suffering from “nephritis” cure. Parents marry non-relatives. Denied the history of genetic disease. Sister intelligence, physical development are more backward. Physical examination: the appearance of an adult man, naive character, head circumference 55cm, chest 68cm, height 135cm, the lower amount 61cm, sitting height 74cm, weight 30.5kg. Mental intelligence, sound rough like adults. Facial, limbs, trunk hairy, Adam’s apple obvious, penis, scrotum was adult, pubic hair more and thicker. Laboratory tests: blood cholesterol, hematuria routine, urinary 17, urinary 17 ketone were normal. Renal function was normal. Serum T_42.0ug%, thyroid IB ~ 1 absorption rate slightly lower. Skull is a lateral film (film number: 43441) See the skull bone plate integrity within the board, the normal size of the sella, anterior bed suddenly see see osteoporosis slightly blurred. Retroperitoneal pneumoconiosis plus tomography; bilateral kidney, adrenal no