A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism

Graves’ hyperthyroidism has a various number of well-recognized manifestations. Galactorrhea is a rare manifestation in this disease. We describe a 33-year-old man who presented with the symptoms of hyperthyroidism, gynaecomastia, and galactorrhea for 2 months. Physical examination revealed goitre,...

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Main Authors: Somdul Khoohaphatthanakul, Apiradee Sriwijitkamol
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2016/1946824
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author Somdul Khoohaphatthanakul
Apiradee Sriwijitkamol
author_facet Somdul Khoohaphatthanakul
Apiradee Sriwijitkamol
author_sort Somdul Khoohaphatthanakul
collection DOAJ
description Graves’ hyperthyroidism has a various number of well-recognized manifestations. Galactorrhea is a rare manifestation in this disease. We describe a 33-year-old man who presented with the symptoms of hyperthyroidism, gynaecomastia, and galactorrhea for 2 months. Physical examination revealed goitre, gynaecomastia, and galactorrhea, bilaterally. Laboratory investigations demonstrated high free thyroxine with suppressed thyroid-stimulating hormone level together with elevated anti-TSH receptor; therefore, the diagnosis of Graves’ disease was confirmed. Other investigations to elucidate the etiology of galactorrhea were normal, so the galactorrhea was hypothesized to be caused by Graves’ disease. The gynaecomastia and galactorrhea resolved with the successful treatment of hyperthyroidism. Although the galactorrhea is extremely rare in thyrotoxicosis male patients, to the best of our knowledge, this is the third case which reported gynaecomastia and galactorrhea in male patient who presented with thyrotoxicosis.
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institution Kabale University
issn 2090-6501
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publishDate 2016-01-01
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spelling doaj-art-7955997174fd49b98e18478d7a0eef482025-02-03T06:08:17ZengWileyCase Reports in Endocrinology2090-65012090-651X2016-01-01201610.1155/2016/19468241946824A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves HyperthyroidismSomdul Khoohaphatthanakul0Apiradee Sriwijitkamol1Danchang Hospital, Suphan Buri, ThailandDivision of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, ThailandGraves’ hyperthyroidism has a various number of well-recognized manifestations. Galactorrhea is a rare manifestation in this disease. We describe a 33-year-old man who presented with the symptoms of hyperthyroidism, gynaecomastia, and galactorrhea for 2 months. Physical examination revealed goitre, gynaecomastia, and galactorrhea, bilaterally. Laboratory investigations demonstrated high free thyroxine with suppressed thyroid-stimulating hormone level together with elevated anti-TSH receptor; therefore, the diagnosis of Graves’ disease was confirmed. Other investigations to elucidate the etiology of galactorrhea were normal, so the galactorrhea was hypothesized to be caused by Graves’ disease. The gynaecomastia and galactorrhea resolved with the successful treatment of hyperthyroidism. Although the galactorrhea is extremely rare in thyrotoxicosis male patients, to the best of our knowledge, this is the third case which reported gynaecomastia and galactorrhea in male patient who presented with thyrotoxicosis.http://dx.doi.org/10.1155/2016/1946824
spellingShingle Somdul Khoohaphatthanakul
Apiradee Sriwijitkamol
A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
Case Reports in Endocrinology
title A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
title_full A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
title_fullStr A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
title_full_unstemmed A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
title_short A 33-Year-Old Man with Gynaecomastia and Galactorrhea as the First Symptoms of Graves Hyperthyroidism
title_sort 33 year old man with gynaecomastia and galactorrhea as the first symptoms of graves hyperthyroidism
url http://dx.doi.org/10.1155/2016/1946824
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AT somdulkhoohaphatthanakul 33yearoldmanwithgynaecomastiaandgalactorrheaasthefirstsymptomsofgraveshyperthyroidism
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