SK Verma¹* and Vartika Jain²

¹Professor Emeritus, Department of Medicine, Pacific Medical College and Hospitals, Udaipur and former Chief Investigator, Indigenous Drug Research Centre, RNT Medical College, Udaipur, Rajasthan, India
²Department of Botany, Govt. Meera Girls’ College, Udaipur, Rajasthan, India

*Corresponding Author: SK Verma, Professor Emeritus, Department of Medicine, Pacific Medical College and Hospitals, Udaipur and former Chief Investigator, Indigenous Drug Research Centre, RNT Medical College, Udaipur, Rajasthan, India.

Received: October 18, 2023; Published: November 10, 2023

Abstract

A 55 year old man consulted out patient department for painful bilateral breast swellings. He had been diagnosed as having Ischemic Heart Disease proved on TMT and advised for coronary angiogram. He refused for further investigations and did not take any allopathic medicine. On further review of symptoms, he reported no changes in testicular size, no history of testicular trauma, no STD, no headache, no visual changes and any change in muscular mass or strength. Initial laboratory assessment showed higher estradiol concentration (180 pg/ml) and normal testosterone level Subsequent findings from testicular USG, CT of chest, abdomen and pelvis were normal. Because of the normal findings from the imaging evaluation, the patient was interviewed again and after taking into confidence, he disclosed a daily intake of 3 g Indian Kudzu (Pueraria tuberosa DC.) from last one month. He was advised to discontinue the drug which resulted in complete resolution of symptoms within 20 days. This is a first case of gynecomastia caused by ingestion of India Kudzu reported from Udaipur, Rajasthan. Health care providers should thoroughly review patient’s history of ingestion of herbal product to reveal the unusual manifestation of medical conditions.

 Keywords: Phytoestrogen; Daidzein; Isoflavones; Pueraria tuberosa; Estradiol

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Citation

Citation: SK Verma and Vartika Jain. “Compulsion for Herbal Medicine Culminating in Bilateral Gynecomastia – A Case Report”.Acta Scientific Medical Sciences 7.12 (2023): 19-22.

Copyright

Copyright: © 2023 SK Verma and Vartika Jain. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.