Abstract
Many clinical manifestations of onchocerciasis have been described, but we have not seen any reports of gynaecomastia. We are involved in a field study looking at the impact of ivermectin on oncho-dermatitis in hyperendemic communities, and found gynaecomastia in 63 of 301 men examined before being given ivermectin (figure). Many of the men affected were heavily infected with Onchocerca volvulus parasites, and aged between 30–45 years. They also tended to complain of sexual weakness. Other causes of gynaecomastia were looked for and not found.
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