title: Low testosterone in a male adolescent bodybuilder: Which diagnosis holds more weight?
abstract: We present the case of a 16-year-old male who presented reporting a 6-month history of lowered mood, fatigue, anhedonia, disturbed sleep and heightened anxiety. On further questioning he reported restricted eating and weightlifting for at least 1 h on a daily basis. Investigations revealed findings compatible with secondary hypogonadism. The potential causes of secondary hypogonadism including structural lesions, muscle dysmorphia and use of illicit anabolic steroids are discussed.
authors.affiliation: Child Health Research Unit, Barwon Health, Geelong, Victoria, Australia.
authors.forename: Ineke
authors.initials: I
authors.lastname: Woodhill
authors.forename: Chris
authors.initials: C
authors.lastname: Cooper
authors.forename: Margaret
authors.initials: M
authors.lastname: Zacharin
authors.forename: Kimberly
authors.initials: K
authors.lastname: Cukier
authors.forename: Peter
authors.initials: P
authors.lastname: Vuillermin
mesh_terms: D000293:Adolescent; D006801:Humans; D007006:Hypogonadism / Q000097:blood / Q000175:diagnosis*; D007986:Luteinizing Hormone / Q000097:blood; D008297:Male; D019966:Substance-Related Disorders / Q000150:complications*; D013739:Testosterone / Q000097:blood*; D014891:Weight Lifting
chemical_list: D013739:Testosterone; D007986:Luteinizing Hormone
keywords: eating disorder; hypogonadism; nutritional supplement; performance-enhancing substance; testosterone