Gynecomastia causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]
Overview
Common known causes of gynecomastia include physiological hormonal changes, use of medications and pathological entities such as cirrhosis, hyperthyroidism, testicular tumors and hypogonadism. Less common causes include androgen insensitivity syndrome, Kallmann syndrome, defects of testosterone pathway and tumors.
Causes
Life-threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. There are no known life-threatening causes of gynecomastia.
Common Causes
Less Common Causes[10]
- Aromatase overexpression
- Androgen insensitivity syndrome
- Drugs
- Kallmann syndrome
- Testosterone pathway defects
- Tumors
To review a complete list of gynecomastia causes, click here.
Genetic Causes
Causes in Alphabetical Order
Causes of gynecomastia in alphabetical order:[11][12]
- Acromegaly
- Adrenal Cancer
- Androgen-insensitivity Syndrome
- Breast Cancer
- Carcinoid
- Chromophobe adenoma
- Chronic Liver Disease
- Chronic renal insufficiency
- Cirrhosis
- Congenital anorchia
- Extragonadal germ cell tumors
- Familial gynecomastia
- Five alpha-reductase deficiency Syndrome
- Hemochromatosis
- Hepatitis
- Hepatocellular carcinoma
- Hypogonadism
- Hypopituitarism
- Hypothyroidism
- Idiopathic
- Kallman Syndrome
- Kidney Carcinoma
- Klinefelter Syndrome
- Liver cancer
- Local irradiation
- Lung cancer
- Medications/drugs:
- Alcohol
- Anabolic
- Bicalutamide
- Chemotherapeutics
- Chlorpromazine
- Cimetidine
- Clomiphene
- Diazepam
- Digoxin
- Efavirenz
- Estrogens
- Etravirine
- Etomidate
- Febuxostat
- Finasteride
- Fluoxymesterone,
- Haloperidol
- Heroin
- Histrelin
- Human chorionic gonadotropin (HCG)
- Iloperidone
- Isoniazid
- Ketoconazole
- Leuprolide
- Loxapine
- Marijuana
- Megestrol
- Methadone
- Methyldopa
- Metoclopramide
- Metronidazole
- Mitotane
- Nifedipine
- Nizatidine
- Oxandrolone
- Olanzapine
- Omeprazole
- Oxymetholone
- Penicillamine
- Phenothiazine
- Pramipexole
- Sertraline
- Sorafenib
- Spironolactone
- Steroids
- Tamoxifen
- Tiagabine
- Tricyclic antidepressants
- Trifluoperazine
- Topical tree oil
- Topical lavender oil
- Verapamil
- Melatonin
- Persistent postpubertal/elderly gynecomastia
- Physiologic gynecomastia of puberty
- Re-feeding after starvation
- Stomach cancer
- Testicular cancer
- Testicular trauma
- Thyroid Disease
- Torsion of testes
- Viral orchitis
References
- ↑ Deepinder F, Braunstein GD (2012). "Drug-induced gynecomastia: an evidence-based review". Expert Opin Drug Saf. 11 (5): 779–95. doi:10.1517/14740338.2012.712109. PMID 22862307.
- ↑ 2.0 2.1 2.2 Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ Lainscak M, Pelliccia F, Rosano G, Vitale C, Schiariti M, Greco C; et al. (2015). "Safety profile of mineralocorticoid receptor antagonists: Spironolactone and eplerenone". Int J Cardiol. 200: 25–9. doi:10.1016/j.ijcard.2015.05.127. PMID 26404748.
- ↑ Henley DV, Lipson N, Korach KS, Bloch CA (2007). "Prepubertal gynecomastia linked to lavender and tea tree oils". N Engl J Med. 356 (5): 479–85. doi:10.1056/NEJMoa064725. PMID 17267908.
- ↑ Vandeven H, Pensler J. PMID 28613563. Missing or empty
|title=(help) - ↑ 6.0 6.1 De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Swerdloff RS, Ng J. PMID 25905330. Vancouver style error: initials (help); Missing or empty
|title=(help) - ↑ Ladizinski B, Lee KC, Nutan FN, Higgins HW, Federman DG (2014). "Gynecomastia: etiologies, clinical presentations, diagnosis, and management". South Med J. 107 (1): 44–9. doi:10.1097/SMJ.0000000000000033. PMID 24389786.
- ↑ Wagner MS, Wajner SM, Maia AL (2008). "The role of thyroid hormone in testicular development and function". J Endocrinol. 199 (3): 351–65. doi:10.1677/JOE-08-0218. PMC 2799043. PMID 18728126.
- ↑ Cavanaugh J, Niewoehner CB, Nuttall FQ (1990). "Gynecomastia and cirrhosis of the liver". Arch. Intern. Med. 150 (3): 563–5. PMID 2310274.
- ↑ 10.0 10.1 Shozu M, Sebastian S, Takayama K, Hsu WT, Schultz RA, Neely K; et al. (2003). "Estrogen excess associated with novel gain-of-function mutations affecting the aromatase gene". N Engl J Med. 348 (19): 1855–65. doi:10.1056/NEJMoa021559. PMID 12736278.
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X