15th April 2024

A 14-year-old boy presents to your general practice with his mother, who is known for being quite suspicious of medical professionals.

A 14-year-old boy presents to your general practice with his mother, who is known for being quite suspicious of medical professionals. You looked through his medical notes before seeing him and noticed that he did not have his childhood vaccinations, there is also an entry referring to a presentation to the emergency department 5 years ago with a swollen neck.

His mother has noticed that he has developed gynecomastia. She is quite concerned and has asked for a further assessment. On physical examination, you notice that the boy has bilateral small firm testes associated with hypospadias. From the patient’s past medical history and presentation, what is the most likely cause of his presentation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.