Case history
Case history #1
A 17-year-old adolescent boy is brought into the office by his mother, who has concerns about her son's recent mood swings and aggressive behaviour. He is involved in athletics and recently his teammates have been commenting on how much bigger, stronger, and faster he is becoming. He has had violent outbursts at school and has displayed sadness and withdrawal at home. He says that he has thought about suicide.
Case history #2
An otherwise healthy 32-year-old woman seeks help for amenorrhoea. Although she does not want children now, she plans to conceive in a few years. She seems athletic and fit, with a well-developed torso and upper extremity musculature. She is hirsute and has a deep, almost masculine voice. Laboratory tests indicate highly elevated triglycerides, LDL-cholesterol, and total cholesterol.
Other presentations
Other presentations may include hypertension, diabetes, endocrinopathies, and, rarely, hepatic disease related to chronic use. Most often these patients have well-developed muscles, acne, hirsutism, and clitoromegaly (women) or gynaecomastia or small testes (men).
Use of this content is subject to our disclaimer