MOHAMMED A. ARNAOUT, M.D.; THOMAS L. GARTHWAITE, M.D.; ARNOLD J. KRUBSACK, M.D., Ph.D.; THAD C. HAGEN, M.D.
ARNAOUT MA, GARTHWAITE TL, KRUBSACK AJ, HAGEN TC. Galactorrhea, Gynecomastia, and Hypothyroidism in a Man. Ann Intern Med. 1987;106:779-780. doi: 10.7326/0003-4819-106-5-779_2
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Published: Ann Intern Med. 1987;106(5):779-780.
To the editor: Galactorrhea occurs rarely in men and most cases are reported in patients with prolactin-secreting pituitary tumors (1, 2). The occurrence of hyperprolactinemia and galactorrhea in the presence of hypothyroidism is well documented in women (1, 3). We report the occurrence of galactorrhea and gynecomastia, both of which resolved after thyroxine replacement therapy, in a man with occult hypothyroidism.
A 59-year-old white man with seronegative rheumatoid arthritis was referred to our endocrinology clinic for the evaluation of progressive painful swelling of both breasts that had occurred during the previous 2 months. This swelling had followed an episode of
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