Penicillamine-induced virginal mammary hypertrophy

Virginal mammary hypertrophy (VMH), also known as juvenile mammary hypertrophy, is characterized by excessive enlargement of the breasts. Especially in adolescent patients, this condition can cause a negative body image to develop and result in significant psychological stress. Furthermore, social p...

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Main Authors: Daiwon Jun, Na Rim Kim, Young Chul Suh, Young Jin Kim, Kyoung Soon Cho, Jung Ho Lee
Format: Article
Language:English
Published: Korean Society for Aesthetic Plastic Surgery 2021-01-01
Series:Archives of Aesthetic Plastic Surgery
Subjects:
Online Access:http://e-aaps.org/upload/pdf/aaps-2020-02376.pdf
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author Daiwon Jun
Na Rim Kim
Young Chul Suh
Young Jin Kim
Kyoung Soon Cho
Jung Ho Lee
author_facet Daiwon Jun
Na Rim Kim
Young Chul Suh
Young Jin Kim
Kyoung Soon Cho
Jung Ho Lee
author_sort Daiwon Jun
collection DOAJ
description Virginal mammary hypertrophy (VMH), also known as juvenile mammary hypertrophy, is characterized by excessive enlargement of the breasts. Especially in adolescent patients, this condition can cause a negative body image to develop and result in significant psychological stress. Furthermore, social problems can arise from difficulties in finding appropriately-fitting attire and having trouble exercising. Although the mechanism of VMH has not been fully elucidated, several associated drugs have been identified. In this report, we present a 15-year-old female patient with Wilson disease who developed macromastia after administration of penicillamine for 8 months. Despite cessation of penicillamine for 3 months, the condition remained stable; thus, reduction mammoplasty was performed. After surgery, the patient was able to return to activities of daily living. Although rare, physicians should be aware of the fact that penicillamine can cause VHM. Therefore, patients with Wilson disease should be checked regularly for changes in breast volume in order to minimize possible complications.
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spelling doaj.art-9bc36199f641452faf75acd26a64e44b2022-12-21T19:54:48ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372021-01-01271353810.14730/aaps.2020.02376728Penicillamine-induced virginal mammary hypertrophyDaiwon Jun0Na Rim Kim1Young Chul Suh2Young Jin Kim3Kyoung Soon Cho4Jung Ho Lee5 Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Pediatrics, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea Department of Plastic and Reconstructive Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, KoreaVirginal mammary hypertrophy (VMH), also known as juvenile mammary hypertrophy, is characterized by excessive enlargement of the breasts. Especially in adolescent patients, this condition can cause a negative body image to develop and result in significant psychological stress. Furthermore, social problems can arise from difficulties in finding appropriately-fitting attire and having trouble exercising. Although the mechanism of VMH has not been fully elucidated, several associated drugs have been identified. In this report, we present a 15-year-old female patient with Wilson disease who developed macromastia after administration of penicillamine for 8 months. Despite cessation of penicillamine for 3 months, the condition remained stable; thus, reduction mammoplasty was performed. After surgery, the patient was able to return to activities of daily living. Although rare, physicians should be aware of the fact that penicillamine can cause VHM. Therefore, patients with Wilson disease should be checked regularly for changes in breast volume in order to minimize possible complications.http://e-aaps.org/upload/pdf/aaps-2020-02376.pdfwilson diseasepenicillaminebreast disease
spellingShingle Daiwon Jun
Na Rim Kim
Young Chul Suh
Young Jin Kim
Kyoung Soon Cho
Jung Ho Lee
Penicillamine-induced virginal mammary hypertrophy
Archives of Aesthetic Plastic Surgery
wilson disease
penicillamine
breast disease
title Penicillamine-induced virginal mammary hypertrophy
title_full Penicillamine-induced virginal mammary hypertrophy
title_fullStr Penicillamine-induced virginal mammary hypertrophy
title_full_unstemmed Penicillamine-induced virginal mammary hypertrophy
title_short Penicillamine-induced virginal mammary hypertrophy
title_sort penicillamine induced virginal mammary hypertrophy
topic wilson disease
penicillamine
breast disease
url http://e-aaps.org/upload/pdf/aaps-2020-02376.pdf
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