Causes and Metabolic Consequences of Gynecomastia in Adult Patients.

Abstract:

Background:Gynecomastia (GM) is a benign enlargement of male breast due to glandular tissue proliferation. GM is a symptom of systemic or local hormonal disturbances, which could be associated with functional changes or pathological conditions. However, the long-lasting steroid imbalance in men with GM might exert negative influence on their metabolic health. Methods:A total of 110 adult men with symptomatic GM were included in the present retrospective cross-sectional study. Anthropometric, metabolic, and hormonal data of the patients were collected. Results:In almost 64% of GM patients, the underlying pathological condition was identified. Moreover, the development of GM was among the primary symptoms leading to the proper diagnosis in more than 40% of hypogonadal patients. The prevalence of metabolic syndrome (MS) was 53%; the highest prevalence of MS was found in patients with medication-induced GM and in the hypogonadal patients, whereas the lowest prevalence was observed in men with idiopathic postpubertal GM despite the similar degree of obesity. The lower testosterone levels were associated with more unfavorable lipid profile in the GM patients. Conclusion:The development of GM in adults might be an important symptom of an underlying gonadal disease. Moreover, it could be associated with an increased risk of metabolic disturbances. Our results support the need of detailed laboratory and hormonal investigations in patients with GM including targeted screening for metabolic disturbances. Further longitudinal studies are needed to evaluate the long-term consequences of sex hormones imbalance on cardiovascular morbidity and mortality in adults with GM.

journal_name

Int J Endocrinol

authors

Robeva R,Elenkova A,Zacharieva S

doi

10.1155/2019/6718761

subject

Has Abstract

pub_date

2019-10-03 00:00:00

pages

6718761

eissn

1687-8337

issn

1687-8345

journal_volume

2019

pub_type

杂志文章
  • Rare Somatic MEN1 Gene Pathogenic Variant in a Patient Affected by Atypical Parathyroid Adenoma.

    abstract:Objective:Atypical parathyroid adenoma is a rare neoplasm, showing atypical histological features intermediate between classic benign adenoma and the rarest parathyroid carcinoma, whose the clinical behaviour and outcome is not yet understood or predictable. Up to date only two cases of atypical adenoma were found asso...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2020/2080797

    authors: Cinque L,Pugliese F,Clemente C,Castellana S,Leone MP,de Martino D,Balsamo T,Battista C,Biagini T,Graziano P,Castori M,Scillitani A,Guarnieri V

    更新日期:2020-04-27 00:00:00

  • Disruptive Effect of Organotin on Thyroid Gland Function Might Contribute to Hypothyroidism.

    abstract::A considerable increase in endocrine abnormalities has been reported over the last few decades worldwide. A growing exposure to endocrine-disrupting chemicals (EDCs) can be one of the causes of endocrine disorders in populations, and these disorders are not only restricted to the metabolic hormone system but can also ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章,评审

    doi:10.1155/2019/7396716

    authors: de Oliveira M,Rodrigues BM,Olimpio RMC,Graceli JB,Gonçalves BM,Costa SMB,da Silva TM,De Sibio MT,Moretto FCF,Mathias LS,Cardoso DBM,Tilli HP,Freitas-Lima LC,Nogueira CR

    更新日期:2019-04-17 00:00:00

  • Effect of gelam honey on the oxidative stress-induced signaling pathways in pancreatic hamster cells.

    abstract::Background. Oxidative stress induced by reactive oxygen and nitrogen species is critically involved in the impairment of β -cell function during the development of diabetes. Methods. HIT-T15 cells were cultured in 5% CO2 and then preincubated with Gelam honey extracts (20, 40, 60, and 80 µg/mL) as well as quercetin (2...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/367312

    authors: Batumalaie K,Zaman Safi S,Mohd Yusof K,Shah Ismail I,Devi Sekaran S,Qvist R

    更新日期:2013-01-01 00:00:00

  • Isolation of pancreatic progenitor cells with the surface marker of hematopoietic stem cells.

    abstract::To isolate pancreatic progenitor cells with the surface markers of hematopoietic stem cells, the expression of stem cell antigen (Sca-1) and c-Kit and the coexpression of them with pancreatic duodenal homeobox-1 (PDX-1), neurogenin 3 (Ngn3), and insulin were examined in murine embryonic pancreas. Then different pancre...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2012/948683

    authors: Ma F,Chen F,Chi Y,Yang S,Lu S,Han Z

    更新日期:2012-01-01 00:00:00

  • GNPDA2 Gene Affects Adipogenesis and Alters the Transcriptome Profile of Human Adipose-Derived Mesenchymal Stem Cells.

    abstract:Background:Genome-wide association studies have found an obesity-related single-nucleotide polymorphism rs10938397 near the glucosamine-6-phosphate deaminase 2 gene (GNPDA2) encoding, an enzyme that catalyzes the deamination of the glucosamine-6-phosphate involved in the hexosamine signaling pathway, but the molecular ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2019/9145452

    authors: Wu L,Ma F,Zhao X,Zhang MX,Wu J,Mi J

    更新日期:2019-08-01 00:00:00

  • Association between Bone Mineral Density and Severity of Chronic Kidney Disease.

    abstract:Objective:We sought to evaluate the association between femoral neck (FN) and lumbar spine (LS) bone mineral densities (BMDs) with severity of chronic kidney disease (CKD) and prevalence of osteopenia or osteoporosis (OP) among the CKD group. Methods:Cross-sectional data from 11050 participants aged ≥20 years from the...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2020/8852690

    authors: Huang JF,Zheng XQ,Sun XL,Zhou X,Liu J,Li YM,Wang XY,Zhang XL,Wu AM

    更新日期:2020-10-26 00:00:00

  • Relationship between Subclinical Thyroid Dysfunction and the Risk of Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Prospective Cohort Studies.

    abstract:BACKGROUND:Evidence on the association between subclinical thyroid dysfunction and the risk of cardiovascular outcomes are conflicting. METHODS AND RESULTS:PubMed, EMbase, Web of Science, Cochrane Library, and China Biology Medicine (CBM) databases were searched from inception to July 10, 2016. A total of 16 studies w...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章,评审

    doi:10.1155/2017/8130796

    authors: Sun J,Yao L,Fang Y,Yang R,Chen Y,Yang K,Tian L

    更新日期:2017-01-01 00:00:00

  • Clinical Characteristics of Endogenous Cushing's Syndrome at a Medical Center in Southern Taiwan.

    abstract::From January 1987 to December 2011, over a total of 25 years, 84 patients with Cushing's syndrome (CS) were identified at a medical center in southern Taiwan. We observed a higher incidence of ACTH-independent CS (75%) than ACTH-dependent CS (25%). A higher incidence of adrenocortical adenoma (58.3%) than Cushing's di...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/685375

    authors: Tung SC,Wang PW,Liu RT,Chen JF,Hsieh CJ,Kuo MC,Yang JW,Lee WC,Cheng MH,Lee TC

    更新日期:2013-01-01 00:00:00

  • Effects of growth hormone replacement therapy on bone mineral density in growth hormone deficient adults: a meta-analysis.

    abstract::Objectives. Growth hormone deficiency patients exhibited reduced bone mineral density compared with healthy controls, but previous researches demonstrated uncertainty about the effect of growth hormone replacement therapy on bone in growth hormone deficient adults. The aim of this study was to determine whether the gr...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/216107

    authors: Xue P,Wang Y,Yang J,Li Y

    更新日期:2013-01-01 00:00:00

  • Strain US Elastography for the Characterization of Thyroid Nodules: Advantages and Limitation.

    abstract::Thyroid nodules, with their high prevalence in the general population, represent a diagnostic challenge for clinicians. Ultrasound (US), although absolutely reliable in detecting thyroid nodules, is still not accurate enough to differentiate them into benign and malignant. A promising novel modality, US elastography, ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章,评审

    doi:10.1155/2015/908575

    authors: Cantisani V,Grazhdani H,Drakonaki E,D'Andrea V,Di Segni M,Kaleshi E,Calliada F,Catalano C,Redler A,Brunese L,Drudi FM,Fumarola A,Carbotta G,Frattaroli F,Di Leo N,Ciccariello M,Caratozzolo M,D'Ambrosio F

    更新日期:2015-01-01 00:00:00

  • Comparison of Exenatide and Metformin Monotherapy in Overweight/Obese Patients with Newly Diagnosed Type 2 Diabetes.

    abstract:Aims:The present study assessed the therapeutic effect of exenatide and metformin as the initial therapy on overweight/obese patients with newly diagnosed type 2 diabetes (T2D). Methods:The prospective, nonrandomized, interventional study enrolled a total of 230 overweight or obese patients with newly diagnosed T2D wh...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2017/9401606

    authors: Liu J,Hu Y,Xu Y,Jia Y,Miao L,Wang G

    更新日期:2017-01-01 00:00:00

  • Fatty Acid modulation of the endocannabinoid system and the effect on food intake and metabolism.

    abstract::Endocannabinoids and their G-protein coupled receptors (GPCR) are a current research focus in the area of obesity due to the system's role in food intake and glucose and lipid metabolism. Importantly, overweight and obese individuals often have higher circulating levels of the arachidonic acid-derived endocannabinoids...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/361895

    authors: Naughton SS,Mathai ML,Hryciw DH,McAinch AJ

    更新日期:2013-01-01 00:00:00

  • Comparison of ox-LDL Levels in Diabetic Patients with Normo-, Micro-, and Macroalbuminuria with Their First Degree Relatives and the Healthy Control Group.

    abstract::Oxidized low density lipoprotein (ox-LDL) is a product of oxidative stress. In this cross-sectional study, we compared the ox-LDL concentrations in diabetic patients with normoalbuminuria (n = 28), microalbuminuria (n = 28), and macroalbuminuria (n = 28) with their first degree relatives (n = 28) and healthy control p...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2012/167154

    authors: Behzadi P,Torabi F,Amini M,Aminorroaya A

    更新日期:2012-01-01 00:00:00

  • A simple matter of life and death-the trials of postnatal Beta-cell mass regulation.

    abstract::Pancreatic beta-cells, which secrete the hormone insulin, are the key arbiters of glucose homeostasis. Defective beta-cell numbers and/or function underlie essentially all major forms of diabetes and must be restored if diabetes is to be cured. Thus, the identification of the molecular regulators of beta-cell mass and...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2012/516718

    authors: Tarabra E,Pelengaris S,Khan M

    更新日期:2012-01-01 00:00:00

  • Islet Stellate Cells Regulate Insulin Secretion via Wnt5a in Min6 Cells.

    abstract:Background:Type 2 diabetes mellitus is a serious public health problem worldwide. Accumulating evidence has shown that β-cell dysfunction is an important mechanism underlying diabetes mellitus. The changes in the physiological state of islet stellate cells (ISCs) and the effects of these cells on β-cell dysfunction is ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2020/4708132

    authors: Xu W,Jones PM,Geng H,Li R,Liu X,Li Y,Lv Q,Liu Y,Wang J,Wang X,Sun Z,Liang J

    更新日期:2020-02-24 00:00:00

  • High fasting insulin levels and insulin resistance may be linked to idiopathic recurrent pregnancy loss: a case-control study.

    abstract::Objective. Patients with more than two spontaneous pregnancy losses are diagnosed with recurrent pregnancy loss. The aim of this study was to evaluate the IR (insulin resistance) in patients with idiopathic recurrent pregnancy loss. Material and Method. A single center, case control study was performed on one hundred ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/576926

    authors: Ispasoiu CA,Chicea R,Stamatian FV,Ispasoiu F

    更新日期:2013-01-01 00:00:00

  • Pregnancy Ketonemia and Development of the Fetal Central Nervous System.

    abstract::Glucose is the major source of energy for the human brain which in turn uses ketone bodies as a supplement for energy deficit in glucose cell deficiency conditions. Pregnancy complicated by gestational diabetes is a condition associated with significantly increased risk of ketonemia development. The data available pro...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章,评审

    doi:10.1155/2018/1242901

    authors: Bronisz A,Ozorowski M,Hagner-Derengowska M

    更新日期:2018-06-04 00:00:00

  • Clinicopathological Characteristics and Prognosis of Papillary Thyroid Carcinoma in Naturally Menopausal Women with Various Durations of Premenarche, Reproductive Periods, and Postmenopausal Stages.

    abstract::Background. Papillary thyroid cancer (PTC) exhibits a higher incidence in women. Due to various ages at menarche and menopause, estrogen levels vary, which may account for the differences in the occurrence, development, and prognosis of female patients with PTC. Objective. The aim of this study was to investigate the ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2017/5702716

    authors: Zhu X,Yu B,Huang YQ,Zhou JN,Ge MH

    更新日期:2017-01-01 00:00:00

  • Autoimmune Diseases in Patients with Cushing's Syndrome after Resolution of Hypercortisolism: Case Reports and Literature Review.

    abstract:Introduction:Cushing's syndrome (CS) is a clinical condition characterized by excessive cortisol production, associated with metabolic complications, such as diabetes mellitus, dyslipidemia, metabolic syndrome, hypertension, and cardiovascular diseases. Nowadays, the occurrence of autoimmune diseases in CS have not bee...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2018/1464967

    authors: Petramala L,Olmati F,Conforti MG,Concistré A,Bisogni V,Alfieri N,Iannucci G,de Toma G,Letizia C

    更新日期:2018-12-18 00:00:00

  • Intrahepatic Lipid Content and Insulin Resistance Are More Strongly Associated with Impaired NEFA Suppression after Oral Glucose Loading Than with Fasting NEFA Levels in Healthy Older Individuals.

    abstract::Introduction. The mechanisms underlying the association between insulin resistance and intrahepatic lipid (IHL) accumulation are not completely understood. We sought to determine whether this association was explained by differences in fasting non-esterified fatty acid (NEFA) levels and/or NEFA suppression after oral ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/870487

    authors: Finucane FM,Sharp SJ,Hatunic M,Sleigh A,De Lucia Rolfe E,Sayer AA,Cooper C,Griffin SJ,Savage DB,Wareham NJ

    更新日期:2013-01-01 00:00:00

  • Puerarin Suppress Apoptosis of Human Osteoblasts via ERK Signaling Pathway.

    abstract::Puerarin, the main isoflavone glycoside extracted from Radix Puerariae, is an isoflavone traditional Chinese herb. Previous studies have demonstrated that puerarin could regulate osteoblast proliferation and differentiation to promote bone formation. However, the effect of puerarin on the process of human osteoblasts ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/786574

    authors: Liu LJ,Liu LQ,Bo T,Li SJ,Zhu Z,Cui RR,Mao DA

    更新日期:2013-01-01 00:00:00

  • Effects of long-term testosterone therapy on patients with "diabesity": results of observational studies of pooled analyses in obese hypogonadal men with type 2 diabetes.

    abstract::To investigate effects of long-term testosterone (T) therapy in obese men with T deficiency (TD) and type 2 diabetes mellitus (T2DM), data were collected from two observational, prospective, and cumulative registry studies of 561 men with TD receiving T therapy for up to 6 years. A subgroup of obese hypogonadal men wi...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2014/683515

    authors: Haider A,Yassin A,Doros G,Saad F

    更新日期:2014-01-01 00:00:00

  • Acute Effects of Insulin on Cardiac Function in Patients with Diabetes Mellitus: Clinical Applicability and Feasibility.

    abstract:Background:Insulin promotes glucose consumption as the main cardiac energy source, while increasing myocardial efficiency. The short-term effects of insulin on cardiac function and its potential curative role in an acute diabetological cardiology setting remain unknown. Our study evaluated the role of acute insulin adm...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2020/8134548

    authors: Daoud Naccache D,Yalonetsky S,Bar-Yoseph R

    更新日期:2020-03-17 00:00:00

  • Risk Factors for Cervical Lymph Node Metastasis of Papillary Thyroid Microcarcinoma: A Single-Center Retrospective Study.

    abstract:Objective:To identify the clinicopathological features correlated to lymph node metastasis (LNM) in patients with papillary thyroid microcarcinoma (PTMC). Methods:Clinical data of 785 PTMC patients who underwent surgical treatment at the Lishui Municipal Central Hospital from September 2008 to December 2017 were retro...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2019/8579828

    authors: Cheng F,Chen Y,Zhu L,Zhou B,Xu Y,Chen Y,Wen L,Chen S

    更新日期:2019-01-15 00:00:00

  • Primary hyperparathyroidism: 11-year experience in a single institute in Thailand.

    abstract::Primary hyperparathyroidism (PHPT) is not an uncommon disease in the western countries. In Thailand, on the contrary, PHPT was a rare condition with various clinical presentations. All 45 PHPT patients who underwent parathyroidectomy at the Department of Surgery, Siriraj Hospital during January 1997 and December 2007 ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2012/952426

    authors: Prasarttong-Osoth P,Wathanaoran P,Imruetaicharoenchoke W,Rojananin S

    更新日期:2012-01-01 00:00:00

  • Comparison of two creatinine-based equations for predicting decline in renal function in type 2 diabetic patients with nephropathy in a korean population.

    abstract::Aim. To compare two creatinine-based estimated glomerular filtration rate (eGFR) equations, the chronic kidney disease epidemiology collaboration (CKD-EPI) and the modification of diet in renal disease (MDRD), for predicting the risk of CKD progression in type 2 diabetic patients with nephropathy. Methods. A total of ...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2013/848963

    authors: Lee EY,Lee YM,Choi KH,Lee HC,Lee BW,Kim BS

    更新日期:2013-01-01 00:00:00

  • Trends in prevalence, awareness, treatment, and control of diabetes mellitus in mainland china from 1979 to 2012.

    abstract::Diabetes mellitus (DM) is one of the primary causes of premature death and disability worldwide. We performed a systematic review and meta-analysis of the published literature regarding the trends in prevalence, awareness, treatment, and control of diabetes mellitus in mainland China. PUBMED, EMBASE, Chinese Biomedica...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章,评审

    doi:10.1155/2013/753150

    authors: Li MZ,Su L,Liang BY,Tan JJ,Chen Q,Long JX,Xie JJ,Wu GL,Yan Y,Guo XJ,Gu L

    更新日期:2013-01-01 00:00:00

  • Association among Fibrinolytic Proteins, Metabolic Syndrome Components, Insulin Secretion, and Resistance in Schoolchildren.

    abstract::We investigated the role of urokinase plasminogen activator (uPA) and its soluble receptors (suPAR) and plasminogen activator inhibitor-1 (PAI-1) in metabolic syndrome (MetS) components, insulin secretion, and resistance in schoolchildren. We enrolled 387 children, aged 10.3 ± 1.5 years, in Taipei. Anthropometry, fibr...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2015/170987

    authors: Chen JS,Wu CZ,Chu NF,Chang LC,Pei D,Lin YF

    更新日期:2015-01-01 00:00:00

  • Long Noncoding RNA LOC100129940-N Is Upregulated in Papillary Thyroid Cancer and Promotes the Invasion and Progression.

    abstract::Thyroid cancer is the most common endocrine malignancy, and its incidence has increased rapidly in recent decades worldwide. Papillary thyroid cancer (PTC) is the most common type of all thyroid cancers. The molecular mechanisms underlying the disease still need to be further investigated. Long noncoding RNAs (lncRNAs...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2019/7043509

    authors: Choy M,Guo Y,Li H,Wei G,Ye R,Liang W,Xiao H,Li Y,Guan H

    更新日期:2019-04-07 00:00:00

  • Pituitary Morphology and Function in 43 Children with Central Diabetes Insipidus.

    abstract::Objective. In pediatric central diabetes insipidus (CDI), etiology diagnosis and pituitary function monitoring are usually delayed. This study aimed to illustrate the importance of regular follow-up and pituitary function monitoring in pediatric CDI. Methods. The clinical, hormonal, and neuroradiological characteristi...

    journal_title:International journal of endocrinology

    pub_type: 杂志文章

    doi:10.1155/2016/6365830

    authors: Liu W,Wang L,Liu M,Li G

    更新日期:2016-01-01 00:00:00