Concluded Case

12 yrs old male child with left side breast enlargement with palpable glandular tissue 1*1 cm beneath nipple left side. 1.what is this condition called? 2.is it true or pseudo? 3.how to approach this child? what questions u want me to answer for diagnosis for this child

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Concluded answer
1.gynecomastia 2.true gynecomastia If there ia palpable fibroglandular tissue more than 0.5cm diametet below nipple it is true gynecomastia. If it is due to adipose tissue accumulation as occurs in obese children it is pseudo. 3. We have to look for a.Other secondary sexual characters - change in voice, axillary hair, testicular volume b.history of drug intake - spirinolactone, ketoconazole c.features of hyperthyroidism d.features of kleinfelter syndrome e. Look for abdominal mass- adrenal tumor f.ask for family history. Very rarely hereditary After ruling out all these causes clinically we can reassure them that it could be physiological. Physiological Gynecomastia in males occurs in 2 age groups. A.In newborn due to maternal harmones usually lasts for few weeks. B.around pubertal age due to various reasons. If it not occur in these age group or if u clinical suspicion due to other cause u have to evaluate him
All Answers
1.Gynaecomastia 2.True gynaecomastia In this 12 yrs boy it is congenital or Heriditary gynaecomastia. 3.First: complete Physical exam and local exam. Questions:1.Is it painful? 2.exclusion of hypogonadism (klienfilter syndrome )
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It's a case of.. PUBERTAL GYAENECOMASTIA.. NOTHING TO WORRY ABOUT IT.. REASSURANCE.. SYMPTOMATIC TREATMENT..
Pubertal gynaecomastia . It normal . Just reassurance. Agree with Dr. Swaminathan .
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Pubertal gynaecomastia Reassure
Gynaecomastia
1.gynecomastia 2.true gynecomastia If there ia palpable fibroglandular tissue more than 0.5cm diametet below nipple it is true gynecomastia. If it is due to adipose tissue accumulation as occurs in obese children it is pseudo. 3. We have to look for a.Other secondary sexual characters - change in voice, axillary hair, testicular volume b.history of drug intake - spirinolactone, ketoconazole c.features of hyperthyroidism d.features of kleinfelter syndrome e. Look for abdominal mass- adrenal tumor f.ask for family history. Very rarely hereditary After ruling out all these causes clinically we can reassure them that it could be physiological. Physiological Gynecomastia in males occurs in 2 age groups. A.In newborn due to maternal harmones usually lasts for few weeks. B.around pubertal age due to various reasons. If it not occur in these age group or if u clinical suspicion due to other cause u have to evaluate him
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