All hypogonadotrophic hypogonadism patients with anosmia are not kallmann’s

Wereport a case of 26 year old Indian male patient of hypogonadotrophic hypogonadism. The patient presented ten years earlier to a centre where he was diagnosed to have hypogonadism which was central in origin along with anosmia. Eventually a diagnosis of kallman’s was made. The patient was discharged with an advice of monthly injections of Testosterone which the patient was injected on three occasions & was lost to follow-up. Our case points out a possible misdiagnosis of Kallmann’s if other differentials are not kept in mind. Cardiac conduction defects have been documented for the first time in CHARGE for the first time to the best of our knowledge. A corrected cleft palate may at times mask aatreticchoanalaperture, one of the major criteria for CHARGE. All the above points make our case unique. Finally, a diagnosis of CHARGE was made based on the appropriate investigations and managed accordingly.