What is a likely diagnosis for a 17-year-old male experiencing aggression, acne, accelerated male pattern baldness, and gynecomastia?

The likely diagnosis for the 17-year-old male experiencing aggression, acne, accelerated male pattern baldness, and gynecomastia is anabolic steroid use.

Anabolic steroids are synthetic derivatives of testosterone that promote muscle growth and enhance athletic performance. The symptoms presented in this case align closely with the effects of anabolic steroid use. Aggression is commonly reported among users due to increased testosterone levels, which can affect mood and behavior. Acne is another frequent side effect, particularly in adolescents, as increased oil production in the skin can lead to breakouts. Accelerated male pattern baldness may occur due to heightened levels of dihydrotestosterone (DHT), a potent androgen derived from testosterone, and many individuals experience this in conjunction with steroid use. Gynecomastia, or the development of breast tissue in males, can occur as a result of hormonal imbalances caused by steroid use, where excess testosterone can be converted into estrogen, leading to breast tissue formation.

In contrast, testosterone deficiency typically presents differently, often leading to decreased muscle mass, low energy levels, and decreased libido rather than the symptoms observed here. Hyperthyroidism can cause weight loss, anxiety, and tremors, but it does not account for the specific combination of symptoms presented. Pol