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Klinefelter syndrome (ks), also known as 47,xxy, is a chromosome anomaly where a male has an extra x chromosome [10] the complications commonly including infertility and small, poorly functioning testicles (if present). 47,xxy (klinefelter syndrome) is a chromosomal variation in males where one extra x chromosome is present which then results in a 47,xxy The extra x chromosome typically affects physical, neurodevelopmental, behavioral and neurocognitive functioning. Females typically have two x chromosomes (46,xx), and males typically have one x and one y chromosome (46,xy) Most often, people with klinefelter syndrome have the usual x and y chromosomes, and one extra x chromosome, for a total of 47 chromosomes (47,xxy). Males with a normal male karyotype (xy) in some cells may be fertile and have less obvious malformations Some affected men have 3, 4, and even 5 x chromosomes along with the y As the number of x chromosomes increases, the severity of intellectual disability and of malformations also increases. Longer cag repeats in androgen receptor gene correlate with severity 47,xxy, commonly known as klinefelter syndrome, is a chromosomal condition that affects male development This genetic variation is characterized by the presence of an extra x chromosome in males, resulting in a 47,xxy karyotype instead of the typical 46,xy.