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OCR: ecessive orThe disorder is inherited as an X-linked autosomal dominant trait with variable re low or expressivity. Serum FSH and LH levels els are low low-normal, and plasma testosterone let hormones for the age. The levels of other pituitary e synthesisare normal. The defect appears to be in t etion, to rying from or release of GnRH and has a severity va the complete absence of pulsatile LH sec of LH impairment in amplitude and frequency secretion. ayed Distinction between this disorder and de pubertal puberty is difficult in boys of early or mi ia, or a age; the presence of microphallus, anosn hosis. positive family history may help in diag .tes may Sometimes, differentiation of the two st require long observation.