Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus

Background: Gynecomastia during adolescence is common though etiology is not clear. We studied the clinical and hormonal profile of adolescent patients with gynecomastia. Methodology: Patients who had onset of breast development between age 10 and 20 years were included in this study. Their clinical...

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Main Authors: Bindu Kulshreshtha, Arora Arpita, Patnaik T Rajesh, Bhattacharya Sameek, Deep Dutta, Sharma Neera, Mohsin Mohd
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=1;spage=160;epage=164;aulast=Kulshreshtha
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author Bindu Kulshreshtha
Arora Arpita
Patnaik T Rajesh
Bhattacharya Sameek
Deep Dutta
Sharma Neera
Mohsin Mohd
author_facet Bindu Kulshreshtha
Arora Arpita
Patnaik T Rajesh
Bhattacharya Sameek
Deep Dutta
Sharma Neera
Mohsin Mohd
author_sort Bindu Kulshreshtha
collection DOAJ
description Background: Gynecomastia during adolescence is common though etiology is not clear. We studied the clinical and hormonal profile of adolescent patients with gynecomastia. Methodology: Patients who had onset of breast development between age 10 and 20 years were included in this study. Their clinical profile, biochemical, and hormonal parameters were studied. Results: Of 94 patients with gynecomastia, 4 had hypogonadotropic hypogonadism, 4 had hypergonadotropic hypogonadism, and 1 had fibroadenosis, but in majority (90.4%), no apparent cause for breast enlargement was evident. In the idiopathic group, majority were obese (63%). Fourteen (16%) patients had impaired fasting glucose or impaired glucose tolerance. Another twenty patients had subtle abnormalities (high 1 h glucose or glucose peak at 2 h). Twenty-nine percent of lean and 38% of obese patients had mild abnormalities in glucose profile. Sixty percent of patients had family background of diabetes. Obese patients had lower testosterone as compared to lean patients; however, estradiol, luteinizing hormone, and follicle-stimulating hormone levels were similar in the two groups. Conclusion: Gynecomastia during adolescence is associated with obesity, dysglycemia, and family background of diabetes mellitus.
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spelling doaj.art-07427c3ce86046bfbdedd2a3725917b32022-12-21T17:49:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102017-01-0121116016410.4103/2230-8210.196022Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitusBindu KulshreshthaArora ArpitaPatnaik T RajeshBhattacharya SameekDeep DuttaSharma NeeraMohsin MohdBackground: Gynecomastia during adolescence is common though etiology is not clear. We studied the clinical and hormonal profile of adolescent patients with gynecomastia. Methodology: Patients who had onset of breast development between age 10 and 20 years were included in this study. Their clinical profile, biochemical, and hormonal parameters were studied. Results: Of 94 patients with gynecomastia, 4 had hypogonadotropic hypogonadism, 4 had hypergonadotropic hypogonadism, and 1 had fibroadenosis, but in majority (90.4%), no apparent cause for breast enlargement was evident. In the idiopathic group, majority were obese (63%). Fourteen (16%) patients had impaired fasting glucose or impaired glucose tolerance. Another twenty patients had subtle abnormalities (high 1 h glucose or glucose peak at 2 h). Twenty-nine percent of lean and 38% of obese patients had mild abnormalities in glucose profile. Sixty percent of patients had family background of diabetes. Obese patients had lower testosterone as compared to lean patients; however, estradiol, luteinizing hormone, and follicle-stimulating hormone levels were similar in the two groups. Conclusion: Gynecomastia during adolescence is associated with obesity, dysglycemia, and family background of diabetes mellitus.http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=1;spage=160;epage=164;aulast=KulshreshthaAdolescentdiabetes mellitusdysglycemiagynecomastiaobesity
spellingShingle Bindu Kulshreshtha
Arora Arpita
Patnaik T Rajesh
Bhattacharya Sameek
Deep Dutta
Sharma Neera
Mohsin Mohd
Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
Indian Journal of Endocrinology and Metabolism
Adolescent
diabetes mellitus
dysglycemia
gynecomastia
obesity
title Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
title_full Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
title_fullStr Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
title_full_unstemmed Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
title_short Adolescent gynecomastia is associated with a high incidence of obesity, dysglycemia, and family background of diabetes mellitus
title_sort adolescent gynecomastia is associated with a high incidence of obesity dysglycemia and family background of diabetes mellitus
topic Adolescent
diabetes mellitus
dysglycemia
gynecomastia
obesity
url http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=1;spage=160;epage=164;aulast=Kulshreshtha
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