PMID- 15897980 OWN - NLM STAT- MEDLINE DCOM- 20051207 LR - 20100324 IS - 1008-682X (Print) IS - 1008-682X (Linking) VI - 7 IP - 2 DP - 2005 Jun TI - Birth after intracytoplasmic sperm injection of ejaculated spermatozoa from a man with mosaic Klinefelter's syndrome. PG - 217-20 AB - AIM: To report a birth after intracytoplasmic sperm injection (ICSI) of ejaculated spermatozoa from a man with mosaic Klinefelter's syndrome detected by fluorescence in situ hybridization (FISH) analysis. METHODS: A 35-year-old man with a normal appearance consulted our hospital because of sterility over a 5-year period. Chromosome analysis showed low-incidence mosaic Klinefelter's syndrome. Using FISH, 96 % hyperploidy of the lymphocytes was found. We examined the sex chromosome of the ejaculated spermatozoa. Using FISH, we examined 200 ejaculated spermatozoa and no hyperploidy was found. RESULTS: The 33-year-old female partner of the male patient underwent an uncomplicated controlled ovarian hyperstimulation sequence using a combined recombinant-follicle stimulating hormone (rec-FSH) + human menopausal gonadotrophin (hMG) protocol, following late luteal phase pituitary down regulation. This culminated in the retrieval of seven oocytes, six of which were fertilized with ICSI. One ICSI attempt led to clinical pregnancy with a healthy baby girl. CONCLUSION: We report a male patient with low-incidence mosaic Klinefelter's syndrome whose ejaculated spermatozoa were identified as being haploid by FISH before ICSI, leading to the successful pregnancy of his wife and the birth of a healthy baby girl. FAU - Akashi, Takuya AU - Akashi T AD - Department of Urology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Sugitani 2630, Toyama 930-0194, Japan. akashitakuya@mail.goo.ne.jp FAU - Fuse, Hideki AU - Fuse H FAU - Kojima, Yasuo AU - Kojima Y FAU - Hayashi, Mikiko AU - Hayashi M FAU - Honda, Sachiko AU - Honda S LA - eng PT - Case Reports PT - Journal Article PL - China TA - Asian J Androl JT - Asian journal of andrology JID - 100942132 SB - IM MH - Adult MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Klinefelter Syndrome/genetics/*physiopathology MH - Male MH - *Mosaicism MH - Pregnancy MH - Pregnancy Outcome MH - *Sperm Injections, Intracytoplasmic EDAT- 2005/05/18 09:00 MHDA- 2005/12/13 09:00 CRDT- 2005/05/18 09:00 PHST- 2005/05/18 09:00 [pubmed] PHST- 2005/12/13 09:00 [medline] PHST- 2005/05/18 09:00 [entrez] AID - 10.1111/j.1745-7262.2005.00023.x [doi] PST - ppublish SO - Asian J Androl. 2005 Jun;7(2):217-20. doi: 10.1111/j.1745-7262.2005.00023.x.