23rd September 2021

A 34-year-old bodybuilder presents to his GP as he is concerned about recently developing acne

A 34-year-old bodybuilder presents to his GP as he is concerned about recently developing acne. He also reports that his testicles have gotten smaller. His past medical history includes asthma, for which he takes salbutamol inhalers as required. There is no significant family history apart from rosacea, which his father has. He does not drink alcohol or smoke. On examination, he appears very muscular. Other significant findings include bilateral breast tissue enlargement, as well as small testicles.

Which of the following is the most likely underlying diagnosis?

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