Case File #3

A somewhat tall-for-his-age 13-year-old adolescent male arrives for routine care. His mother reports that he seems to be much more immature and insecure than her older son was at the same age. His school performance is below average, and this year he has begun to receive special education for language-based classes. On physical examination you note that his extremities are longer than expected and that he is embarrassed by his gynecomastia. He is Tanner stage 1 with small gonads.

What is the most likely diagnosis?

Email answers to zjgb14@goldmail.etsu.edu

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