Gynecomastia following spinal cord disorder.
Gynecomastia, an excessive development of the mammary glands in men, is a known phenomenon among patients with spinal cord disorder, yet in the last 50 years it has not been fully described in relation to spinal cord disorder. Over a period of 2 years, six patients with spinal cord disorder (4 secondary to a traumatic injury, 1 to decompression sickness, and 1 to transverse myelitis) manifested gynecomastia. The onset of gynecomastia occurred between 1 to 6 months after injury. These patients are presented along with a review of the possible causes for gynecomastia and a suggested workup routine. A clinical examination for the presence of gynecomastia should be performed for every patient with spinal cord disorder and a thorough endocrinological workup should follow to rule out malignancy and reassure the anxious patient undergoing a disruption of his body image.
Heruti
R J
RJ
Department of Neurologic Rehabilitation, Sheba Medical Center, Tel-Hashomer, Israel.
Dankner
R
R
Berezin
M
M
Zeilig
G
G
Ohry
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D006177:Gynecomastia / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013118:Spinal Cord Diseases / Q000097:blood / Q000150:complications*; D013119:Spinal Cord Injuries / Q000097:blood / Q000150:complications*; D013997:Time Factors