Armin E. Heufelder, MD; Matthew C. Leinung, MD; Robert C. Northcutt, MD
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To the Editors: The differential diagnosis of acute swelling and tenderness of the male breast involves considering occupational hazards, medications, recreational drugs, and estrogen-containing topical agents as well as erotic and nonerotic mechanical stimulations. We were recently consulted by a 28-year-old health care worker with resolving bilateral gynecomastia, which had begun a month earlier after a 1-week vacation in the Virgin Islands. The initial physical examination was remarkable only for enlargement of both breasts with marked tenderness and swelling of both nipples and areolar areas. No breast secretions were noted. Bilateral mammography did not reveal any masses. Full resolution of
Heufelder AE, Leinung MC, Northcutt RC. Holiday Gynecomastia. Ann Intern Med. 1992;116:877. doi: 10.7326/0003-4819-116-10-877_1
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Published: Ann Intern Med. 1992;116(10):877.
DOI: 10.7326/0003-4819-116-10-877_1