Gynecomastia history and symptoms: Difference between revisions
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==== Age of onset ==== | ==== Age of onset ==== | ||
* Physiological gynecomastia has trimodal distribution occurring in neonatal, in pubertal age and in the elderly. | * Physiological gynecomastia has trimodal distribution occurring in neonatal, in pubertal age and in the elderly.<ref name="pmid18369226">{{cite journal| author=Niewoehner CB, Schorer AE| title=Gynaecomastia and breast cancer in men. | journal=BMJ | year= 2008 | volume= 336 | issue= 7646 | pages= 709-13 | pmid=18369226 | doi=10.1136/bmj.39511.493391.BE | pmc=2276281 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18369226 }} </ref><ref name="pmid17881754">{{cite journal| author=Braunstein GD| title=Clinical practice. Gynecomastia. | journal=N Engl J Med | year= 2007 | volume= 357 | issue= 12 | pages= 1229-37 | pmid=17881754 | doi=10.1056/NEJMcp070677 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17881754 }} </ref> | ||
* Pathological gynecomastia can occur at any age secondary to any condition causing increased free estrogen to androgen ratio. | * Pathological gynecomastia can occur at any age secondary to any condition causing increased free estrogen to androgen ratio. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The majority of patients with [disease name] are asymptomatic. OR The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
History
Age of onset
- Physiological gynecomastia has trimodal distribution occurring in neonatal, in pubertal age and in the elderly.[1][2]
- Pathological gynecomastia can occur at any age secondary to any condition causing increased free estrogen to androgen ratio.
Past Medical History
- Gynecomastia is associated with a past medical history of cirrhosis, chronic renal disease, hyperthyroidism, orchitis, trauma to testis or use of medications (eg, prescription medications, over-the-counter medications, recreational drugs).
Social History
- Patients may have a history of use of illicit drugs or decrease in libido which might suggest hypogonadism.
Common Symptoms
Common symptoms of [disease] include:
- [symptom 1]
- [symptom 2]
- [symptom 3]
Less Common Symptoms
- Less common symptoms of [disease name] include
- [symptom 1]
- [symptom 2]
- [symptom 3]
- Complete history exam should include the following:
- Family history
- Developmental history
- Associated symptoms
- Detailed past medical history
- Careful drug history
References
- ↑ Niewoehner CB, Schorer AE (2008). "Gynaecomastia and breast cancer in men". BMJ. 336 (7646): 709–13. doi:10.1136/bmj.39511.493391.BE. PMC 2276281. PMID 18369226.
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.