RESUMO
La lepra es una de las causas de ginecotelia, sin embargo poco se ha publicado sobre este signo común y generalmente ignorado. La prevalencia de ginecomastia, una complicación bien conocida de la lepra en pacientes varones adultos, es poco reportada. El tratamiento temprano tiene un efecto notable en la reducción de la misma. Presentamos el caso de un varón con lepra multibacilar con ginecotelia y ginecomastia, en el curso de la enfermedad
Leprosy is one of the causes of gynaecothelia, however little has been published on this common and generally ignored sign. The prevalence of gynecomastia, a well known leprosy complication in adult male patients, is little reported. Early treatment has a marked effect in reducing it. Here we present the case of a man with multibacillary leprosy who had been associated gynaecothelia and gynecomastia in the course of the disease
Assuntos
Humanos , Masculino , Hanseníase/patologia , Hanseníase/transmissão , Ginecomastia/fisiopatologia , Ginecomastia/congênito , Quimioterapia Combinada/instrumentação , Quimioterapia Combinada/métodos , Dermatopatias/patologia , Neoplasias da Mama Masculina/tratamento farmacológico , Hanseníase/congênito , Hanseníase/complicações , Ginecomastia/genética , Ginecomastia/metabolismo , Quimioterapia Combinada/psicologia , Quimioterapia Combinada , Dermatopatias/metabolismo , Neoplasias da Mama Masculina/complicaçõesRESUMO
The Authors reporting their experience, discuss some concepts about physiologic evolution of male and female breast. They distinguish between real and false gynaecomastia; stressing the causes of abnormal development of male breast and morphopathological characteristics of gynaecomastia. Careful diagnostic protocol is necessary for a therapeutic approach based on traditional surgery or liposuction: it depends on prevalence of glandular or adipose breast's tissue.
Assuntos
Ginecomastia , Adolescente , Adulto , Fatores Etários , Idoso , Diagnóstico Diferencial , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Ginecomastia/induzido quimicamente , Ginecomastia/classificação , Ginecomastia/congênito , Ginecomastia/diagnóstico , Ginecomastia/cirurgia , Humanos , Recém-Nascido , Lipectomia , Masculino , Mastectomia SubcutâneaRESUMO
An unusual combination of congenital malformations in a 16-year-old emotionally disturbed man is described. The anomalies included severe congenital bilateral leg lymphedema, bilateral gynecomastia, unilateral cataract, and malformed external genitalia. Genetic and hormonal investigations were unremarkable. Multiple concomitant operations (vascular and plastic surgeons) to correct the deformities and restore physical well-being and self-esteem were undertaken.