Klinefelter's Syndrome (47, XXY): Cause, Symptoms and NEET Notes

Biology · Principles of Inheritance and Variation · NEET

Klinefelter's syndrome is a chromosomal disorder in which a male has one extra X chromosome, so his karyotype is 47, XXY instead of the normal 46, XY. The person looks masculine overall but also shows some feminine features like gynaecomastia (breast development), and he is sterile (cannot have children). Memory hook: "XXY = eXtra X = male + a bit female = Klinefelter."
Klinefelter's Syndrome (47, XXY)Normal Male (46, XY)XY44 autosomes + XYTotal = 46Klinefelter (47, XXY)XXY44 autosomes + XXYextra X -> Total = 47
A normal male has 46 chromosomes (XY). In Klinefelter's syndrome an extra X chromosome is added, giving 47 chromosomes (XXY). The person is a sterile male with masculine build plus gynaecomastia.

Your doubts, answered

Is a Klinefelter (47, XXY) person a male or a female?

The person is a male. Even though there are two X chromosomes, the presence of a Y chromosome makes the individual male, so the overall body development is masculine. This is because the Y chromosome carries the male-determining gene. But because of the extra X, some feminine features also appear, mainly gynaecomastia (breast development). So the correct NEET answer is: overall masculine development with some feminine features expressed.

What exactly is the karyotype of Klinefelter's syndrome and how many chromosomes are there?

The karyotype is 47, XXY. A normal person has 46 chromosomes (44 autosomes + 2 sex chromosomes). In Klinefelter's syndrome there is one extra X chromosome, so the total becomes 47. The sex chromosomes are X, X and Y together. NCERT states it directly: 'an additional copy of X-chromosome resulting into a karyotype of 47, XXY.'

Why is a person with Klinefelter's syndrome sterile?

Sterile means the person cannot produce children. In Klinefelter's syndrome the extra X chromosome disturbs normal development of the testes, so healthy sperm are not made. NCERT clearly says 'Such individuals are sterile.' This is a favourite one-line fact NEET tests, so remember: Klinefelter = male + gynaecomastia + sterile.

What is gynaecomastia and why does it happen in Klinefelter's syndrome?

Gynaecomastia means development of breast tissue in a male. It is a feminine feature. It happens in Klinefelter's syndrome because of the extra X chromosome, which brings in some female-type development even though the person is male. NEET often uses the exact phrase 'overall masculine development... feminine development (development of breast, i.e., Gynaecomastia) is also expressed.'

How is Klinefelter's syndrome caused - what is non-disjunction?

It is caused by non-disjunction. Non-disjunction is the failure of chromosomes to separate properly during meiosis (gamete formation). Because of this, a gamete carries an extra sex chromosome. If a sperm or egg with an extra X joins normally, the child ends up with 47, XXY. This gain of a single chromosome is called aneuploidy. Klinefelter's is aneuploidy of the sex chromosomes (not autosomes).

Is Klinefelter's syndrome a Mendelian disorder or a chromosomal disorder?

It is a chromosomal disorder, not a Mendelian (single-gene) disorder. Mendelian disorders (like haemophilia, sickle cell anaemia, phenylketonuria) are caused by a change in a single gene. Chromosomal disorders like Klinefelter's, Turner's and Down's are caused by a whole extra or missing chromosome. This difference is a common NEET trap.

⚠️ The NEET trap
Klinefelter's syndrome person is a female, or the extra chromosome is chromosome 21.
Klinefelter's is a male (47, XXY) with an extra X chromosome (a sex chromosome), showing masculine development plus gynaecomastia, and is sterile. Trisomy of chromosome 21 is Down's syndrome, not Klinefelter's.
🧠 Two traps in one: (1) XXY = male, not female (Y decides male). (2) Do not mix up chromosomes - Klinefelter = extra X (sex chromosome); Down = extra 21 (autosome); Turner = missing X.

Real NEET questions

2019

What is the genetic disorder in which an individual has an overall masculine development, gynaecomastia, and is sterile?

A · Turner's syndrome
B · Klinefelter's syndrome
C · Edward syndrome
D · Down's syndrome
Solution: Klinefelter's syndrome (karyotype 47, XXY) is caused by an additional X chromosome. The individual shows overall masculine development but also expresses feminine development such as gynaecomastia (breast development), and such individuals are sterile. This exactly matches the description, so the answer is Klinefelter's syndrome. NCERT (Ch 4): 'Such an individual has overall masculine development, however, the feminine development (development of breast, i.e., Gynaecomastia) is also expressed... Such individuals are sterile.'
2019

In which genetic condition, each cell in the affected person has three sex chromosomes XXY?

A · Thalassemia
B · Klinefelter's Syndrome
C · Phenylketonuria
D · Turner's Syndrome
Solution: Klinefelter's syndrome is caused by the presence of an additional X chromosome, so each cell has three sex chromosomes (X, X and Y), giving a karyotype of 47, XXY. Turner's syndrome instead has a missing X (45, X0). Thalassemia and phenylketonuria are gene-level (Mendelian) disorders, not sex-chromosome conditions. Hence the answer is Klinefelter's syndrome.
2023

Which of the following statements are correct about Klinefelter's Syndrome? A. This disorder was first described by Landon Down (1866). B. Such an individual has overall masculine development. However, the feminine development is also expressed. C. The affected individual is short statured. D. Physical, psychomotor and mental development is retarded. E. Such individuals are sterile.

A · A and B only
B · C and D only
C · B and E only
D · A and E only
Solution: For Klinefelter's syndrome (47, XXY), statement B is correct (masculine development with some feminine development/gynaecomastia) and statement E is correct (such individuals are sterile). Statement A is false - it describes Down's syndrome (first described by Langdon Down, 1866). Statements C and D (short stature; retarded physical, psychomotor and mental development) are features of Down's syndrome, not Klinefelter's. So only B and E are correct.

Solved Principles of Inheritance and Variation NEET PYQs

Try the real previous-year questions from this chapter — each with the answer and a full solution.

See all 65 Principles of Inheritance and Variation NEET PYQs ›
Next concept: Turner's Syndrome (45, X0)Keep learning — 2 minFeeling ready? Solve the Principles of Inheritance and Variation NEET PYQs ›Or practice on your phone — get the free MedicNEET app ›

Frequently asked

What is the karyotype of Klinefelter's syndrome?

47, XXY. There are 44 autosomes plus three sex chromosomes (X, X and Y), giving a total of 47 chromosomes - one more than the normal 46.

Is Klinefelter's syndrome found in males or females?

In males. The Y chromosome makes the person male, so development is overall masculine, but the extra X causes some feminine features like gynaecomastia.

What are the main symptoms of Klinefelter's syndrome for NEET?

Remember three NCERT points: overall masculine development, gynaecomastia (breast development, a feminine feature), and the individual is sterile.

What causes Klinefelter's syndrome?

Non-disjunction during meiosis, which produces a gamete with an extra X chromosome. When this joins a normal gamete, the child gets 47, XXY. This gain of a single chromosome is called aneuploidy.

How is Klinefelter's different from Turner's syndrome?

Klinefelter's is a male with an EXTRA X (47, XXY). Turner's is a female with a MISSING X (45, X0). Both are sex-chromosome disorders and both are sterile.