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[Endocrinological problems in male adolescents]

C Reina1, S Basso, A Perino

  • 1Clinica Pediatrica III, Università degli Studi, Istituto Scientifico S. Raffaele di Milano, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|November 1, 1994
PubMed
Summary

Male adolescents commonly experience pubertal delay, often due to constitutional delay of growth and development, which requires no treatment. Other endocrine issues like hypogonadism and gynecomastia necessitate specific diagnostic tests and treatments.

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Area of Science:

  • Pediatric Endocrinology
  • Adolescent Health
  • Endocrinological Disorders

Context:

  • Male adolescents frequently encounter endocrinological issues.
  • Constitutional delay of growth and development is the most common cause of pubertal retardation or absence.
  • Distinguishing this from other forms of hypogonadism is crucial.

Purpose:

  • To outline common endocrinological problems in male adolescents.
  • To differentiate between constitutional delay and other hypogonadism forms.
  • To discuss diagnostic and therapeutic approaches for these conditions.

Summary:

  • The most frequent issue is pubertal delay from constitutional delay, requiring no therapy but careful differentiation from hypogonadism via endocrine tests (LHRH, LH, testosterone, HCG, NMR).

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  • Hypogonadism treatment involves testosterone replacement or stimulation with HCG/LHRH.
  • Gynecomastia, often physiological, can be secondary to hypogonadism, tumors, or liver issues, with severe cases managed by mammoplasty. Nutritional problems like obesity and anorexia are also prevalent.

    • Impact:

    • Provides a diagnostic and therapeutic overview for common male adolescent endocrine disorders.
    • Highlights the importance of accurate diagnosis to guide appropriate management strategies.
    • Emphasizes the need to address both endocrine and nutritional health in adolescent males.