PUZZLER
Sudden onset galactorrhea in a teenaged girl
Rachel S Dawson, DO, MPH, MAJ, MC

THE CASE

A 15-year-old adolescent female with a history of anxiety disorder, currently being treated with sertraline and counseling for approximately 1 month, presented to the adolescent medicine clinic with sudden onset of galactorrhea. She first noticed it when she was taking a shower and a large amount of milky discharge spontaneously leaked from bilateral nipples.

IMAGE CREDIT: AUTHOR SUPPLIED