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Low testosterone in a male adolescent bodybuilder: Which diagnosis holds more weight?
Author(s) -
Woodhill Ineke,
Cooper Chris,
Zacharin Margaret,
Cukier Kimberly,
Vuillermin Peter
Publication year - 2014
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12495
Subject(s) - medicine , anhedonia , anxiety , mood , testosterone (patch) , weight lifting , pediatrics , psychiatry , physical therapy , dopamine
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.