Article1 September 1965Familial GynecomastiaSTANLEY ROSEWATER, B.A., GRANT GWINUP, M.D., GEORGE J. HAMWI, M.D., F.A.C.P.STANLEY ROSEWATER, B.A., GRANT GWINUP, M.D., GEORGE J. HAMWI, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-377 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptGynecomastia has been reported in association with many systemic diseases (1-8), with pituitary, gonadal, and adrenal tumors (9-11), and secondary to drug administration and starvation (12-16). Gynecomastia has also been described in various hypergonadotrophic hypogonadal states (17, 18). Several families have been reported with gynecomastia associated with hypospadias (19-21). We have studied a family in which four males have presented with gynecomastia as a part of a syndrome not previously reported. An attempt has been made to elucidate the endocrine interrelationships leading to breast development in these males and to speculate about the causative mechanism.METHODSThe protein-bound iodine (PBI)...References1. SPANKUSGRANT WHRS: Gynecomastia. J. Clin. Endocr. 7: 586, 1947. CrossrefGoogle Scholar2. WHEELERCAWLEYGRAYCURTIS CEEPHTAC: Gynecomastia: a review and analysis of 160 cases. Ann. Intern. Med. 40: 985, 1954. LinkGoogle Scholar3. GREENBERGDIVERTIEWOOLNER EMBLB: A review of unusual systemic manifestations associated with carcinoma. Amer. J. Med. 36: 106, 1964. CrossrefMedlineGoogle Scholar4. BERSONSCHREIBER SASS: Gynecomastia and hyperthyroidism. J. Clin. Endocr. 13: 1126, 1953. CrossrefGoogle Scholar5. STARR P: Gynecomastia during hyperthyroidism. JAMA 104: 1988, 1935. CrossrefGoogle Scholar6. SHUSTERBROWN SJB: Gynecomastia and urinary oestrogens in patients with generalized skin disease. Lancet 2: 1358, 1962. CrossrefMedlineGoogle Scholar7. GAULT JE: Gynecomastia and multiple myeloma. Med. J. Aust. 2: 318, 1961. CrossrefGoogle Scholar8. KYLE LH: Gynecomastia in association with chronic ulcerative colitis. New Eng. J. Med. 240: 537, 1959. CrossrefGoogle Scholar9. MOEHLIG RC: Pituitary tumor associated with gynecomastia. Endocrinology 13: 529, 1929. CrossrefGoogle Scholar10. HUFFMAN LF: Interstitial cell tumor of the testicle: report of a case. J. Urol. 45: 692, 1941. CrossrefGoogle Scholar11. SIMPSONJOLL SLCA: Feminization in a male adult with carcinoma of the adrenal cortex. Endocrinology 22: 595, 1938. CrossrefGoogle Scholar12. EDWARDSSHIMKINSHAVER RAMBJS: Hypertrophy of the breast due to injection of adrenal cortex in a man with Addison's Disease. JAMA 111: 412, 1938. CrossrefGoogle Scholar13. MACBRYDE CM: The production of breast growth in the human female. JAMA 112: 1045, 1939. CrossrefGoogle Scholar14. RODSTEIN M: Gynecomastia—an unusual manifestation of digitalis toxicity. Gen. Pract. 26: 95, 1962. Google Scholar15. SUSSMAN RM: Spironolactone and gynecomastia. Lancet 1: 58, 1963. CrossrefMedlineGoogle Scholar16. KLINEFELTERREIFENSTEINALBRIGHT HFECF: Syndrome characterized by gynecomastia, apermatogenesis without A-Leydigism and increased excretion of Follicle stimulating hormone. J. Clin. Endocr. 2: 615, 1942. CrossrefGoogle Scholar17. ROTH AA: Familial eunouchoidism: the Laurence-Mon Biedl syndrome. J. Urol. 57: 427, 1947. CrossrefMedlineGoogle Scholar18. SOHVALSOFFER ARLJ: Congenital familial testicular deficiency. Amer. J. Med. 14: 328, 1953. CrossrefMedlineGoogle Scholar19. REIFENSTEIN EC: Hereditary familial hypogonadism. Recent Progr. Hormone Res. 3: 224, 1948. Google Scholar20. PETERSSIEBERDAVIS JHWKN: Familial gynecomastia associated with genital abnormalities: report of a family. J. Clin. Endocr. 15: 182, 1955. CrossrefGoogle Scholar21. GILBERT-DREFTUSALEXANDREBELAISCH SSCJ: Etude d'un cas familial d'androgynoidisme avec hypospadias grave, gynecomastie et hyperestrogenie. Ann. Endocr. (Paris) 18: 93, 1957. MedlineGoogle Scholar22. BARKERHUMPHREYSOLEY SBMJMH: The clinical determination of protein-bound-iodine. J. Clin. Invest. 30: 55, 1951. CrossrefMedlineGoogle Scholar23. KLENDSHOJFELDSTEINSPRAGUE NCMA: Determination of 17-ketosteroids in urine. J. Clin. Endocr. 12: 922, 1953. CrossrefGoogle Scholar24. PORTERSILBER CCRH: A quantitative color reaction for cortisone and related 17, 21-dihydroxy-20-ketosteroids. J. Biol. Chem. 185: 201, 1950. CrossrefMedlineGoogle Scholar25. ALBERTKOBILEIFERMANDERNER AJJI: Purification of pituitary gonadotropin from urine of normal men. J. Clin. Endocr. 21: 1, 1961. CrossrefGoogle Scholar26. STEELMANPOHLEY SLFM: Assay of the follicle stimulating hormone based on the augmentation with human chorionic gonadotropin. Endocrinology 53: 604, 1953. CrossrefMedlineGoogle Scholar27. SCHMIDT-ELMENDORFFLORAINE HJA: Some observations on the ovarian ascorbic acid depletion method as a test for luteinizing hormone activity. J. Endocr. 23: 413, 1962. CrossrefMedlineGoogle Scholar28. WATSONBURLSEYBESCH DJJMPK: Determination of urinary estrogens. Clin. Chem. 9: 468, 1963. Google Scholar29. BROWNBULBEOOKGREENWOOD JBRDFC: An additional purification step for a method for estimating oestriol, oestrone and oestradiol in human urine. J. Endocr. 16: 49, 1957. CrossrefMedlineGoogle Scholar30. WATSONBESCH DJPK: Method for the fractionation and quantitative determination of the 17-ketosteroids of urine. Clin. Chem. 8: 284, 1962. CrossrefMedlineGoogle Scholar31. MOORHEADNOWELLMELLMANBATTIPSHUNGERFORD PSPCWJDMDA: Chromosome preparations of leukocytes cultured from human peripheral blood. Exp. Cell Res. 20: 613, 1960. CrossrefMedlineGoogle Scholar32. BIBENGORDON RLGS: Familial hypogonadotropic eunuuchoidism. J. Clin. Endocr. 15: 931, 1955. CrossrefGoogle Scholar33. PASQUALINIBUR RQGE: Hypoandrogenic syndrome with spermatogenesis. Fertil. Steril. 6: 144, 1955. CrossrefMedlineGoogle Scholar34. WILKINS L: The Diagnosis and Treatment of Endocrine Disorders in Childhood and Adolescence. 2nd ed., Charles C Thomas, Springfield, Ill. 1957. Google Scholar35. LJUNGBERG T: Hereditary gynecomastia. Acta Med. Scand. 168: 371, 1960. CrossrefMedlineGoogle Scholar36. GINSBURGBROWN JJB: Increased oestrogen excretion in hypertrophic pulmonary osteoartrophy. Lancet 2: 1274, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Columbus, OhioFrom the Ohio State University Hospitals, Columbus, Ohio.This study was supported in part by training grant Tl 5AM-5118 and clinical research grant FR-34, National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to George J. Hamwi, M.D., Professor of Medicine, Division of Endocrinology & Metabolism, University Hospitals, Columbus, Ohio 43210. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByMolecular basis of androgen insensitivity syndromesDisorders of Sex Development: Classification, Review, and Impact on FertilityNonneoplastic Diseases of the TestisClinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter StudyCongenital LesionsPerspectives in Pediatric Pathology, Chapter 6. Male UndermasculinizationNon-neoplastic diseases of the testisPartial androgen insensitivity syndrome with thermolability in the androgen receptorMolecular Biology and Function of the Androgen Receptor in Genital DevelopmentMolecular Biology and Function of the Androgen Receptor in Genital DevelopmentIntersexualität: Gonadendysgenesien und Androgenresistenz-SyndromeIntersexualityIntersexualitätThe androgen resistance syndromes: Clinical and biochemical aspectsAdolescent Gynecomastia: Differential Diagnosis and ManagementSyndromes caused by androgen resistanceInherited impairment of nuclear androgen uptake as a cause of familial androgen insensitivityRezeptorstörungen in der EndokrinologieAndrogen Insensitivity Syndromes:Paradox of Phenotypic Feminization with Male Genotype and Normal Testicular Androgen SecretionMale InfertilityIntersexualitätThe syndromes of androgen resistance revisitedThe TestisHormonelle Grundlagen der normalen und pathologischen somatischen SexualentwicklungSexual Differentiation9 Androgen receptorsEtiology of Fertility Disturbances in ManCultured human skin fibroblasts: a model for the study of androgen actionThe Role of Gonadal Steroids in Sexual DifferentiationFamilial Cardiomyopathy, Hypogonadism, and CollagenomaHARVEY N. SACKS, M.D., I. SYLVIA CRAWLEY, M.D., JOHN A. WARD, M.D., ROBERT M. FINE, M.D.Comments on some genetic abnormalities of sex determination and sex differentiation in Homo sapiensThe Syndromes of Androgen ResistanceGenetic Disorders of Male Sexual DifferentiationGenetic and Chromosomal Evaluation in AndrologyA New Cause of Male InfertilityABNORMALITIES OF GONADAL FUNCTION IN MENTestisPartial Androgen InsensitivityMedical aspects of hypogonadism7 Gynaecomastia in male adolescentsIncomplete Male PseudohermaphroditismFamilial Incomplete Male Pseudohermaphroditism, Type 2Incomplete Male PseudohermaphroditismFamilial Incomplete Male Pseudohermaphroditism, Type 1TestisGenetic Disorders in Adolescents and Young AdultsFAMILIAL MALE PSEUDOHERMAPHRODITISMChromatin-negative hypogonadism in phenotypic men 1 September 1965Volume 63, Issue 3Page: 377-385KeywordsEstrogensExcretionLigation assayMedical servicesPrevention, policy, and public healthProteinsResearch grantsStarvationSystemic diseasesTestes Issue Published: 1 September 1965 PDF DownloadLoading ...
No takes yet. Share an insight, caveat, or question.
STANLEY ROSEWATER (1965) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: