In patients with autoimmune disease, gynecomastia should not be considered as 1 of the first signs of hyperthyroidism, rather it is a breast pathology that can be present even when euthyroidism restoration is achieved. It is unknown whether the autoimmune nature of thyroid disorders or simply the hyperthyroidism effects breast changes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099052PMC
http://dx.doi.org/10.1002/ccr3.1565DOI Listing

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