Abstract

In Reply.— Drs Hecht and Hecht smell smoke but see no fire. They also may not see the forest for the trees. When we became aware of four individuals with Klinefelter syndrome in our clinical practice who had significant fire-setting behavior, we thought this was likely more than a coincidence. Our primary reason for reporting this observation was not for counseling issues in Klinefelter syndrome, but for alerting health care providers who evaluate firesetters that Klinefelter syndrome rome may be a small subset of firesetters.

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