دورية أكاديمية
Clinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter Study
| العنوان: | Clinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter Study |
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| المؤلفون: | Pablo René Costanzo, Néstor Antonio Pacenza, Sergio Mario Aszpis, Sebastián Matías Suárez, Uriel Marcelo Pragier, Jorge Guillermo Stewart Usher, Miguel Vásquez Cayoja, Sergio Iturrieta, Silvia Elisa Gottlieb, Rodolfo Alberto Rey, Pablo Knoblovits |
| المصدر: | BioMed Research International, Vol 2018 (2018) |
| بيانات النشر: | Hindawi Limited |
| سنة النشر: | 2018 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Medicine |
| الوصف: | Objectives. To evaluate the characteristics of presentation, biochemical profile, and etiology of gynecomastia in adults. Methods. Medical records of 237 men aged 18-85 years with gynecomastia were evaluated. Results. Highest prevalence of gynecomastia was observed between 21 and 30 years (n = 74; 31.2%). The most common presenting complaints were aesthetic concerns (62.8%) and breast pain (51.2%). 25.3% of the subjects had a history of pubertal gynecomastia. 56.5% had bilateral gynecomastia. 39.9% were overweight and 22.8% were obese. The etiology could not be identified in 45.1% of the cases; the most frequent identified causes were anabolic steroids consumption (13.9%), hypogonadism (11.1%), and use of pharmaceutical drugs (7.8%). Patients with bilateral gynecomastia had a longer history of disease, higher BMI, and lower testosterone levels. Conclusions. Patients with gynecomastia presented more often with aesthetic concerns and secondarily with breast pain. The most frequent final diagnosis was idiopathic gynecomastia, whereas the most frequent identified etiologies were anabolic steroids consumption, hypogonadism, and use of pharmaceutical drugs. Despite the low frequency of etiologies such as thyroid dysfunction or adrenal carcinoma, we emphasize the importance of a thorough assessment of the patient, as gynecomastia may be the tip of the iceberg for the diagnosis of treatable diseases. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2314-6133 2314-6141 |
| العلاقة: | http://dx.doi.org/10.1155/2018/8364824Test; https://doaj.org/toc/2314-6133Test; https://doaj.org/toc/2314-6141Test; https://doaj.org/article/f222712adb204a7b8e50d7337e901f86Test |
| DOI: | 10.1155/2018/8364824 |
| الإتاحة: | https://doi.org/10.1155/2018/8364824Test https://doaj.org/article/f222712adb204a7b8e50d7337e901f86Test |
| رقم الانضمام: | edsbas.F1F0C2EF |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 23146133 23146141 |
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| DOI: | 10.1155/2018/8364824 |