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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| Format: | Article |
| Language: | English |
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UNIVERSITAS AIRLANGGA
2023-06-01
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| Series: | Jurnal Rekonstruksi dan Estetik |
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| Online Access: | https://e-journal.unair.ac.id/JRE/article/view/37277 |
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| author | Erdo Puncak Sidarta Syeben Hezer Epatah Hietingwati Robertus Arian Datusanantyo |
| author_facet | Erdo Puncak Sidarta Syeben Hezer Epatah Hietingwati Robertus Arian Datusanantyo |
| author_sort | Erdo Puncak Sidarta |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-5cf5e3be54184e76ace6289f735c9c17 |
| institution | Kabale University |
| issn | 2301-7937 2774-6062 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | UNIVERSITAS AIRLANGGA |
| record_format | Article |
| series | Jurnal Rekonstruksi dan Estetik |
| spelling | doaj-art-5cf5e3be54184e76ace6289f735c9c172025-01-07T04:32:19ZengUNIVERSITAS AIRLANGGAJurnal Rekonstruksi dan Estetik2301-79372774-60622023-06-018161310.20473/jre.v8i1.3727735346A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIAErdo Puncak Sidarta0https://orcid.org/0000-0003-2476-1747Syeben Hezer Epatah Hietingwati1Robertus Arian Datusanantyo2https://orcid.org/0000-0002-7197-3737Department of Surgery, Prof. Dr. W.Z Johannes General Hospital, Kupang, East Nusa Tenggara Department of Anatomic Pathology, Prof. Dr. W.Z. Johannes General Hospital Kupang, East Nusa TenggaraDepartment of Surgery Prof. Dr. W.Z Johannes General Hospital, Kupang, East Nusa Tenggara, IndonesiaHighlights: • 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.https://e-journal.unair.ac.id/JRE/article/view/37277antiretroviralgynecomastia hiv human immunodeficiency |
| spellingShingle | Erdo Puncak Sidarta Syeben Hezer Epatah Hietingwati Robertus Arian Datusanantyo A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA Jurnal Rekonstruksi dan Estetik antiretroviral gynecomastia hiv human immunodeficiency |
| title | A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA |
| title_full | A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA |
| title_fullStr | A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA |
| title_full_unstemmed | A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA |
| title_short | A CASE REPORT: ANTIRETROVIRAL-ASSOCIATED BILATERAL GYNECOMASTIA |
| title_sort | case report antiretroviral associated bilateral gynecomastia |
| topic | antiretroviral gynecomastia hiv human immunodeficiency |
| url | https://e-journal.unair.ac.id/JRE/article/view/37277 |
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