Exp Clin Endocrinol Diabetes 1991; 98(5): 171-174
DOI: 10.1055/s-0029-1211114

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Recidivous Offence in Sadistic Homosexual Pedophile with Karytype 48, XXXY after Testicular Pulpectomy

A case ReportM. Lachman1 , A. Brzek2 , J. Mellan1 , R. Hampl3 , L. Starka3 , K. Motlik4
  • 1Unit of Sexology, OÚNZ
  • 2Institute of Sexology, Charles University
  • 3Research Institute of Endocrinology
  • 4Hlava's Institute of Pathology, Charles University, Prague/Czechoslovakia
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Publication History

Publication Date:
16 July 2009 (online)


The case of recidivous sexual offender with genetically caused mental retardation and primary hypogonadism (Klinefelter's syndrome with karyotype 48, XXXY) is described. He was examined after sadistic abuse of a boy aged 13 that he had committed 19 years after performed testicular pulpectomy. Plasmatic level of testosterone was found 4 x higher than mean level in men after orchidectomy. Histological examination of residual scrotal tissues proved that the source of androgens were hyperplastic nodules of extratesticular Leydig cells.