Gynecomastia

CHICAGO — In patients with acute MI who underwent PCI, spironolactone did not improve the primary composite outcomes but was linked to reduced risk for new or worsening HF, according to new data from the CLEAR SYNERGY (OASIS-9) trial.

A 49-year-old Hispanic man was referred to me by his primary care physician for evaluation of gynecomastia. He had first noticed symmetrically increased breast size at the age of 15 and felt depressed and socially stigmatized because of it. He had also noticed increased growth two years ago, but none lately. The patient stated that he had good libido and no erectile dysfunction. He denied galactorrhea or bloody discharge from his nipples. He also denied breast pain or lumps.