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Bilateral breast in brothers - abreast
Altamash Mohammed Yusuf Shaikh1, Sameer Yadav, Nivedita D Moulick
1Department of Medicine And Endocrine Services, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India.
Gynecomastia is common in puberty, often physiological. This case study highlights two brothers with distinct causes of gynecomastia, emphasizing the need for thorough investigation within families to identify treatable conditions.
Area of Science:
- Endocrinology
- Pediatrics
- Genetics
Background:
- Gynecomastia is a frequent condition in adolescents, with physiological causes in up to 65% of cases.
- Familial occurrence warrants investigation to rule out underlying treatable etiologies.
- Early diagnosis and management are crucial for patient well-being.
Observation:
- Two brothers presented with bilateral gynecomastia.
- The brothers exhibited different underlying causes for their gynecomastia.
- Distinct treatment approaches were required for each brother.
Findings:
- This case series underscores the importance of a comprehensive etiological workup for gynecomastia, even within the same family.
- Identified distinct pathologies necessitating tailored therapeutic strategies.
- Highlighted the potential for varied presentations and management needs in familial gynecomastia.
Implications:
- Emphasizes the need for individualized diagnostic and treatment plans for gynecomastia.
- Suggests genetic or environmental factors may contribute to varied presentations in familial cases.
- Informs clinical practice regarding the thorough investigation of adolescent gynecomastia within family contexts.
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