Hirsutism
|
Figure 3.53
A: Traction alopecia
(Courtesy of Dr. Paul Getz)
B: Hirsutism in female, cheek
(Reprint from Freedberg I,
Sanchez M,
eds. Current
Dermatologic Diagnosis and
Treatment. New York:
Lippincott Williams
&
Wilkins; 2001)
C: Clitoral hypertrophy in child
with
virilizing tumor
(Reprint from Ibeiro RC, et al.
Encyclopedia of Cancer.
New York, NY:
Springer; 2008) |
(Figure 3.53B)
- Increased number of terminal hairs in women with a male pattern of
distribution (unlike hypertrichosis which is an increase in the amount of
hair growth anywhere on the body)
- Androgen-dependent areas include groin, lower abdomen, breasts, chin,
lateral cheeks and upper cutaneous lip
- Causes:
- Adrenal: congenital adrenal hyperplasia, neoplasm
- Pituitary: Cushing’s disease, acromegaly, prolactin-secreting adenomas
- Ovary: ovarian tumor, PCOS
- Other signs of virilization: deepening of voice, temporal balding, amenorrhea,
acne, clitoral hypertrophy (Figure 3.53C)
- Labs: free/total testosterone, LH, FSH, DHEA-S, ± fasting glucose (if
concern for PCOS)
- Treatment: spironolactone, OCP, topical eflornithine, electrolysis, laser
hair removal
|
