Gynecomastia as the initial manifestation of hyperthyroidism
To present two new cases of gynecomastia as the initial manifestation of hyperthyroidism. We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature. Two men sought medical assistance because of unilateral tender...
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| Veröffentlicht in: | Endocrine practice 1997-03, Vol.3 (2), p.80-81 |
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| creator | Gordon, D L Brown, J L Emanuele, N V Hall, 3rd, L |
| description | To present two new cases of gynecomastia as the initial manifestation of hyperthyroidism.
We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature.
Two men sought medical assistance because of unilateral tender gynecomastia. In one of these patients, thyroid, gonadal, and prostate examinations showed normal findings at the time of initial assessment, and symptoms of hyperthyroidism developed later. In our other patient with gynecomastia, other symptoms of hyperthyroidism--for example, nervousness, irritability, palpitations, and fatigue--had been present for a prolonged period but had been considered "normal" by the patient. In both patients, the hyperthyroidism was treated with radioiodine. Breast pain disappeared in both patients, and breast enlargement disappeared in one patient and was decreased in the other patient after euthyroidism was achieved. Review of the literature disclosed only two similar cases.
Because of the rarity of gynecomastia as the initial symptom of hyperthyroidism, we believe that thyroid function tests are not indicated in the workup of patients whose major complaint is gynecomastia. |
| doi_str_mv | 10.4158/EP.3.2.80 |
| format | Article |
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We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature.
Two men sought medical assistance because of unilateral tender gynecomastia. In one of these patients, thyroid, gonadal, and prostate examinations showed normal findings at the time of initial assessment, and symptoms of hyperthyroidism developed later. In our other patient with gynecomastia, other symptoms of hyperthyroidism--for example, nervousness, irritability, palpitations, and fatigue--had been present for a prolonged period but had been considered "normal" by the patient. In both patients, the hyperthyroidism was treated with radioiodine. Breast pain disappeared in both patients, and breast enlargement disappeared in one patient and was decreased in the other patient after euthyroidism was achieved. Review of the literature disclosed only two similar cases.
Because of the rarity of gynecomastia as the initial symptom of hyperthyroidism, we believe that thyroid function tests are not indicated in the workup of patients whose major complaint is gynecomastia.</description><identifier>ISSN: 1530-891X</identifier><identifier>EISSN: 1934-2403</identifier><identifier>DOI: 10.4158/EP.3.2.80</identifier><identifier>PMID: 15251481</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><ispartof>Endocrine practice, 1997-03, Vol.3 (2), p.80-81</ispartof><rights>Copyright Allen Press Publishing Services Mar/Apr 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1561-974cdcd780d3ee0ac7d5c95d092f73016347fc9339cf9eb07605ee3be000a5173</citedby><cites>FETCH-LOGICAL-c1561-974cdcd780d3ee0ac7d5c95d092f73016347fc9339cf9eb07605ee3be000a5173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1691413590?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,64361,64363,64365,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15251481$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gordon, D L</creatorcontrib><creatorcontrib>Brown, J L</creatorcontrib><creatorcontrib>Emanuele, N V</creatorcontrib><creatorcontrib>Hall, 3rd, L</creatorcontrib><title>Gynecomastia as the initial manifestation of hyperthyroidism</title><title>Endocrine practice</title><addtitle>Endocr Pract</addtitle><description>To present two new cases of gynecomastia as the initial manifestation of hyperthyroidism.
We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature.
Two men sought medical assistance because of unilateral tender gynecomastia. In one of these patients, thyroid, gonadal, and prostate examinations showed normal findings at the time of initial assessment, and symptoms of hyperthyroidism developed later. In our other patient with gynecomastia, other symptoms of hyperthyroidism--for example, nervousness, irritability, palpitations, and fatigue--had been present for a prolonged period but had been considered "normal" by the patient. In both patients, the hyperthyroidism was treated with radioiodine. Breast pain disappeared in both patients, and breast enlargement disappeared in one patient and was decreased in the other patient after euthyroidism was achieved. Review of the literature disclosed only two similar cases.
Because of the rarity of gynecomastia as the initial symptom of hyperthyroidism, we believe that thyroid function tests are not indicated in the workup of patients whose major complaint is gynecomastia.</description><issn>1530-891X</issn><issn>1934-2403</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0M9LwzAUB_AgipvTg_-AFATBQ-t7TdMk4EXGnMLAHRS8hSxNWUZ_zKQ99L-3YwPB03sPPnx5fAm5RUgyZOJpsU5okiYCzsgUJc3iNAN6Pu6MQiwkfk_IVQg7gBQkiksyQZYyzAROyfNyaKxpax06pyMdom5rI9e48aqiWjeutKHTnWubqC2j7bC3vtsOvnWFC_U1uSh1FezNac7I1-vic_4Wrz6W7_OXVWyQ5RhLnpnCFFxAQa0FbXjBjGQFyLTkFDCnGS-NpFSaUtoN8ByYtXRjAUAz5HRGHo65e9_-9ONDqnbB2KrSjW37oLjggtE8HeH9P7hre9-MvynMJWZImYRRPR6V8W0I3pZq712t_aAQ1KFQtVgrqlIlDvbulNhvalv8yVOD9BefPm9R</recordid><startdate>199703</startdate><enddate>199703</enddate><creator>Gordon, D L</creator><creator>Brown, J L</creator><creator>Emanuele, N V</creator><creator>Hall, 3rd, L</creator><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>199703</creationdate><title>Gynecomastia as the initial manifestation of hyperthyroidism</title><author>Gordon, D L ; Brown, J L ; Emanuele, N V ; Hall, 3rd, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1561-974cdcd780d3ee0ac7d5c95d092f73016347fc9339cf9eb07605ee3be000a5173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gordon, D L</creatorcontrib><creatorcontrib>Brown, J L</creatorcontrib><creatorcontrib>Emanuele, N V</creatorcontrib><creatorcontrib>Hall, 3rd, L</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrine practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gordon, D L</au><au>Brown, J L</au><au>Emanuele, N V</au><au>Hall, 3rd, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gynecomastia as the initial manifestation of hyperthyroidism</atitle><jtitle>Endocrine practice</jtitle><addtitle>Endocr Pract</addtitle><date>1997-03</date><risdate>1997</risdate><volume>3</volume><issue>2</issue><spage>80</spage><epage>81</epage><pages>80-81</pages><issn>1530-891X</issn><eissn>1934-2403</eissn><abstract>To present two new cases of gynecomastia as the initial manifestation of hyperthyroidism.
We describe detailed case reports of two men with breast enlargement who were found to have hyperthyroidism, and we review the related literature.
Two men sought medical assistance because of unilateral tender gynecomastia. In one of these patients, thyroid, gonadal, and prostate examinations showed normal findings at the time of initial assessment, and symptoms of hyperthyroidism developed later. In our other patient with gynecomastia, other symptoms of hyperthyroidism--for example, nervousness, irritability, palpitations, and fatigue--had been present for a prolonged period but had been considered "normal" by the patient. In both patients, the hyperthyroidism was treated with radioiodine. Breast pain disappeared in both patients, and breast enlargement disappeared in one patient and was decreased in the other patient after euthyroidism was achieved. Review of the literature disclosed only two similar cases.
Because of the rarity of gynecomastia as the initial symptom of hyperthyroidism, we believe that thyroid function tests are not indicated in the workup of patients whose major complaint is gynecomastia.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>15251481</pmid><doi>10.4158/EP.3.2.80</doi><tpages>2</tpages></addata></record> |
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| title | Gynecomastia as the initial manifestation of hyperthyroidism |
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