A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA
Highlights: • Gynecomastia is a known potential side effect of efavirenz, which may manifest in HIV patients. • Healthcare providers should be vigilant and address the potential adverse effects of medications prescribed to individuals with HIV, including gynecomastia. • Surgeons in resource-limi...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
UNIVERSITAS AIRLANGGA
2023-06-01
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| Series: | Jurnal Rekonstruksi dan Estetik |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/JRE/article/view/37277 |
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| Summary: | Highlights:
• Gynecomastia is a known potential side effect of efavirenz, which may manifest in HIV patients.
• Healthcare providers should be vigilant and address the potential adverse effects of medications prescribed to individuals with HIV, including gynecomastia.
• Surgeons in resource-limited areas show flexibility and can achieve satisfactory results in procedures despite limited resources and surgical options.
Abstract:
Background: Human Immunodeficiency Virus (HIV) patients can now access antiretroviral drugs even in resource-limited area. The majority of patients receive the fixed daily dose of an efavirenz-based antiviral (ARV) as advised by the World Health Organization (WHO), despite the fact that gynecomastia is a recognized side effect of evafirenz.
Case Ilustration: We report a 31 year-old male with antiretroviral-associated gynecomastia that underwent the bilateral excision without liposuction procedure with satisfying result.
Discussion: Surgeon in limited-resource area faces limited resources to perform some specific procedure. Meanwhile, limited resources also poses patients avoidable adverse events in otherwise clinical setting. The antiretroviral-associated gynecomastia is unavoidable because limited regimen choice. Surgeon needs also to adjust the surgical option to achieve satisfying result without instrument complexities.
Conclusion: We reported satisfying surgical outcome in antiretroviral-associated bilateral gynecomastia patient with limited clinical setting. |
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| ISSN: | 2301-7937 2774-6062 |