病例介绍患者男性,30岁,因性腺功能低下住院。患者一向体健。4年前出现性欲下降,随后射精量减少,阳萎。肌肉量减少,体力下降和体毛脱落。在外院作头颅骨X线照片正常。催乳素正常,皮质醇、甲状腺索和生长激素的基础值和兴奋值均正常,睾酮、卵泡刺激激素、黄体生成素低下,且对兴奋试验无反应。因而转来本院治疗。过去患者体健。青春期和第二性征的发育、性欲、性能力均正常。已婚,并称在出现症状前4年生育一个孩子。长时间以来每周出现一次轻微的颅顶部头痛,服药后缓解,近来并无加重。神经紧张时有腹泻。数月来有关节痛,累及指骨、左肩、双膝关 Case description Male patient, 30 years old, hospitalized for hypogonadism. Patients have always been healthy. 4 years ago, loss of libido, followed by reduced ejaculation, impotence. Muscle reduction, physical decline and body hair loss. Skull in the hospital for X-rays normal. Normal prolactin, cortisol, thyroid gland and growth hormone values ​​and excitement were normal, testosterone, follicle stimulating hormone, low luteinizing hormone, and the excitement test did not respond. So turn to our hospital for treatment. Past patient health. Adolescence and secondary sexual characteristics of development, sexual desire, sexual ability are normal. Married, claiming to have a child 4 years before the onset of symptoms. There has been a slight head-top headache once a week for long periods of time, relieved after taking medication, no recent increase. Diarrhea when nervous. Months of joint pain, involving the phalanges, left shoulder, double knee