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A Measured Solution: Klinefelter Syndrome

Published:February 06, 2018DOI:https://doi.org/10.1016/j.amjmed.2018.01.021
      A comprehensive physical examination was the key to diagnosis of a complex clinical syndrome in a 32-year-old man. He presented to the Emergency Department with intermittent, left-sided numbness and tingling in his fingers and toes that had begun 2 months earlier but escalated in frequency over the previous 3 days. While in the Emergency Department, he had a tonic-clonic seizure with left gaze deviation, head turning, tongue biting, and urinary incontinence. The seizure persisted for 3 minutes and terminated with a 2-mg dose of intravenous lorazepam.
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