Abstract
Gynecomastia is benign enlargement of male breast. It is caused by high estrogen to androgen ratio, attributable to various causes of estrogen excess or androgen deficiency. Herewith we report a case of gynecomastia in a middle aged man due to excess consumption of horse-gram, containing flavonoids which are estrogenic compounds. Gynecomastia regressed gradually after stopping horse-gram consumption, without any other medical or surgical interventions.
Highlights
Gynecomastia develops due to high estrogen or low androgen levels/activity [1]
We report a case of horse gram flavonoid induced gynecomastia
Gynecomastia is benign enlargement of male breast caused by proliferation of glandular tissue [5,6]
Summary
Gynecomastia develops due to high estrogen or low androgen levels/activity [1]. Exposure to exogenous estrogens is one of the causes, which includes excess consumption of phytoestrogens [2]. Isoflavones and flavonoids are phytoestrogens that can cause gynecomastia when ingested in high quantities. We report a case of horse gram flavonoid induced gynecomastia. Diabetes prevention, which he started on his own after obtaining the information from internet. He temporally related onset of gynecomastia to horse gram intake with onset of gynecomastia after 4 weeks of starting horse gram consumption. There wasn’t any history of regression of secondary sexual characters or reduced sexual desire or function. He was consuming about 100g of boiled horse gram per day for the past 4 months, for weight loss and
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