Table 1 A clinical comparison between KAL1 and KAL2 genetic forms of Kallmann syndrome

From: Kallmann syndrome

Genetic form

KAL1

KAL2

Gene (location)

KAL1 (Xp22.3)

FGFR1 (8p12)

Mode of transmission

X chromosome-linked

Autosomal dominant (incomplete penetrance)

Smell deficiency

Hyposmia to anosmia

None to anosmia

Hypogonadism

Usually severe

Highly variable

Non-reproductive and non-olfactory anomalies

 Bimanual synkinesis

Yes (>75%)

Uncommon

 Renal agenesis

Yes (30%)

Not reported

 Cleft lip/palate

No, but high arched palate

Yes (25–30%)

 Tooth agenesis

Yes

Yes (frequent?)

 Hearing impairment

Yes (unknown frequency)

Yes (unknown frequency)

 Other anomalies

Pes cavus, ptosis

Corpus callosum agenesis, external ear hypoplasia, absent nasal cartilage, hand/foot skeletal anomalies, iris coloboma