RT Journal Article SR Electronic T1 Lessons of the month 3: Mosaic Klinefelter syndrome unveiled by acute vertebral fracture in a middle-aged man JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP e420 OP e422 DO 10.7861/clinmed.2021-0348 VO 21 IS 4 A1 Aye Chan Maung A1 Jenny YC Hsieh A1 David Carmody A1 Swee Du Soon YR 2021 UL http://www.rcpjournals.org/content/21/4/e420.abstract AB Klinefelter syndrome (KS) is the most common sex chromosome disorder in males. It is the result of two or more X chromosomes in a phenotypic male. In addition to primary hypogonadism affecting male sexual development, it is associated with a series of comorbidities such as osteoporosis, psychiatric and cognitive disorders, metabolic syndromes, and autoimmune diseases. A broad spectrum of phenotypes has been described and many cases remain undiagnosed throughout their lifespan. In this case report, we describe a case of mosaic KS unmasked by acute vertebral fracture.