Gynecomastia in Paraplegic Males

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Abstract
In a series of 16 consecutive male paraplegic patients, 4 showed bilateral mammary enlargement. Each patient had abnormally low urinary 17-ketosteroids, hypo-proteinemia with reversal of albumin-globulin ratio and testi-cular atrophy. The basal metabolic rate was -21 and -22% in 2 patients in which the test was done. Excretion of corti-costeroids was in the low normal range. The gynecomastia and other findings mentioned are considered to be sequelae of injury to the spinal cord. However, decreased excretion of 17-ketosteroids, hypoproteinemia and lowered metabolic rate have been observed in traumatic paraplegic patients in the absence of gynecomastia.

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