Case of the Week: Making the diagnosis

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The One Minute Case History

46 year old male presenting with a bit of joint pain

Also tells you he has premature “wear and tear” of his hands with no history of trauma.

There’s nothing much else to go on in the history other than the fact that he’s impotent.

His blood tests show a low FSH and a low LH.

His GP thought it all might be rheumatoid arthritis…

What’s the diagnosis people?

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