Gynaecomasta ddx Flashcards

1
Q

Causes

A

Medications:

  • -> Cardiac: Spironolactone, Digoxin, Amiodarone
  • -> Antimicrobials: Ketoconazole, Metronidazole
  • -> Psychoactive: Haloperidol, Diazepam, TCa’s
  • -> Chemotherapy agents
  • -> Methotrexate
  • -> Recreational e.g. Alcohol , Marijuanna, Anabolic steroids
Idiopathic
Cirrhosis
Hypogonadism (primary or secondary)
Tumours secreting hCG or oestrogen/oestrogen precursors (eg testicular or adrenal tumours)
Chronic renal failure
Hyperthyroidism

(Ref:An interesting case of gynaecomastia
Volume 45, No.1, January/February 2016 Pages 53-55)

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