|
GYNAECOMASTIA |
|
physiological: |
neonatal period puberty old age |
|
|
oestrogen-producing tumours: |
interstitial cell tumours of testes / testicular choriocarcinoma some adrenal tumours bronchial carcinoma |
|
|
decreased androgen production: |
hypogonadism (can be hyper- or hypogonadotrophic) Klinefelter's syndrome (XXY) orchitis / orchidectomy |
|
|
other: |
hepatic cirrhosis (decreased clearance of oestrogens)thyrotoxicosis adrenal hyperplasia androgen-insensitivity syndrome (testicular feminisation)Cushing's syndrome lepromatous leprosy |
|
|
drugs: |
phenothiazines digitalis bendrofluazide spironolactone reserpine isoniazid marihuana steroids griseofulvin |
oestrogens amphetamines salbutamol cimetidine cyproterone acetate methyldopa ethionamide metoclopramide testosterone |
click here to return to the main contents page of Differential Diagnoses in General Medicine