title: Congenital bilateral amazia associated with bilateral choanal atresia.
abstract: Congenital absence of breast development is a very rare abnormality. It may present as an isolated finding or it may be accompanied by other congenital anomalies. Here we report on a 13.5-year-old girl presented to our pediatric endocrinology clinic because of lack of breast development. She had pubarche since the age of 10 years and was regularly menstruating since the age of 12 years. The patient's medical history was positive for bilateral complete choanal atresia that was diagnosed and corrected soon after birth. Physical examination was unremarkable except for bilateral amazia, that is, absence of palpable breast tissue and hypoplastic areolae, whereas both nipples were formed. Renal ultrasonography and chest radiography were normal. The coexistence of congenital bilateral amazia and bilateral complete choanal atresia suggests that these rare disorders may be related etiologically. The patient is scheduled for breast augmentation.
authors.affiliation: Third Department of Pediatrics, University of Athens School of Medicine, Attikon University Hospital, Athens, Greece. anpapad@med.uoa.gr
authors.forename: Anastasios
authors.initials: A
authors.lastname: Papadimitriou
authors.forename: Olga
authors.initials: O
authors.lastname: Karapanou
authors.forename: Anna
authors.initials: A
authors.lastname: Papadopoulou
authors.forename: Polyxeni
authors.initials: P
authors.lastname: Nicolaidou
authors.forename: Andreas
authors.initials: A
authors.lastname: Fretzayas
mesh_terms: D000293:Adolescent; D001940:Breast / Q000002:abnormalities*; D001941:Breast Diseases / Q000150:complications / Q000151:congenital / Q000175:diagnosis; D002754:Choanal Atresia / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans