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- Enlargement of the breasts, usually progressing over the first 2 months of life
- Breast discharge is also sometimes seen
- The breasts should not be red, warm, or tender in neonatal gynecomastia. Those findings are more consistent with other diseases.
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- Neonatal gynecomastia is caused by the passage of maternal hormones across the placenta during pregnancy. When infants are born, these hormones persist for a short time, and their bodies "think" they are entering puberty. This leads to enlargement of the breasts. This is seen in both male and female infants.
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- Diagnosis is made by physical examination; no laboratory tests are necessary.
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- No treatment is necessary. As the mother's hormones exit the baby's bloodstream, the breast tissue will disappear.
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