
Importancia de la anamnesis exhaustiva ante una ginecomastia unilateral inexplicada en un niño
Author(s) -
C. Pérez-García,
Ana Belén Ariza Jiménez,
Laura Camacho Lozano,
Carmen de la Cámara Moraño
Publication year - 2018
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2018.e655
Subject(s) - gynecomastia , medicine , anamnesis , gynecology , breast enlargement , humanities , philosophy , surgery , endocrinology
Gynecomastia consists of breast enlargement due to a hormonal imbalance between estrogens and androgens. Unilateral and important breast growth requires ruling underlying pathologic disorders out. Mechanical cause is uncommon, causing enlargement by repeated stimulation. We report a 6-year-old boy with unilateral gynecomastia. Hyperprolactinemia is the only abnormal finding at laboratory tests. After repeated inquiries, a continuous breast selfstimulation is detected. Its relation with gynecomastia is verified because prolactin normalizes and breast regressed in further revisions, after stopping stimulus.