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本文报告一例中枢神经系统结节病伴有性腺功能减退的病人。患者男,52岁,数月来完全阳萎和性欲减退。否认有胡须增长、胸部增大、触痛及乳头溢液。除近来易疲倦及偶有视力模糊外,既往身健。无服药、诱发本病的治疗和家族史。检查:外貌肥胖,体重120公斤,身高186厘米,血压136/88。右眼视力敏度减低(20/200)。前视野试验(formalvisual field test)证实有双颞侧上象限盲(bire-mporal superior quadrantanopsia)。胸部摄片正常。血清睾丸酮明显减少——50～63ng/dl(正常300～800ng/dl),性腺激素偏低:毛囊刺激激素
This article reports a case of central nervous system sarcoidosis with hypogonadism in patients. Male patient, 52 years old, had complete impotence and loss of libido for several months. Denied the growth of beard, chest enlargement, tenderness and nipple discharge. In addition to recent fatigue and occasional blurred vision, the past health. No medication, induced treatment of this disease and family history. Check: The appearance of obesity, weight 120 kg, height 186 cm, blood pressure 136/88. Right eye visual acuity decreased (20/200). Formal field field test confirmed bire-mporal superior quadrantanopsia. Chest radiography normal. Serum testosterone was significantly reduced - 50 ~ 63ng / dl (normal 300 ~ 800ng / dl), low gonadal hormone: hair follicle stimulating hormone