The recent studies on Klinefelter’s syndrome, which was first described by Klinefelter, et al. in 1942, revealed that intellectual impairment and neuropsychiatric disorders were combined in many cases of Klinefelter’s syndrome. The authors present a 15 year old male patient with confirmed diagnosis of Klinefelter’s syndrome, who showed various secondary psychiatric manifestations such as severe depression, anxiety, self and sexual identity confusion, various psychosomatic symptoms and adjustment problems with poor interpersonal relationship. The variety of psychiatric manifestations accompanying Klinefelter’s syndrome are reviewed from the literature. Comprehensive psychiatric evaluation and treatment via consultation-liaison psychiatry is strongly recommended for Klinefelter’s syndrome with psychiatric manifestations.
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