Article
Gonadotropin-releasing hormone receptor mutation as a cause of pubertal delay.
BMJ case reports - 1 Jun 2026
Lucas Miguel, da Bernarda Rodrigues Inês, Rosmaninho-Salgado Joana, Mirante Alice
Abstract excerpt
A mid-adolescent boy presented with pubertal delay and micropenis. His sister had amenorrhoea. Laboratory evaluation confirmed hypogonadotropic hypogonadism. Brain MRI showed normal pituitary and hypothalamus, though the olfactory bulbs assessment was limited by artefacts. Testosterone therapy enabled the development of secondary sexual characteristics. Subsequent genetic testing identified compound heterozygous...
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