Hirsutism

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Hirsutism Microchapters
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Overview
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Pathophysiology
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Differentiating Hirsutism from other Diseases
Epidemiology and Demographics
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Diagnosis
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History and Symptoms
Physical Examination
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Case #1
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [3]

Differential Diagnosis

1. Idiopathic:
   • Familial,
   • Possibly increased sensitivity to androgens.
2. variant of normal menopause.
3. Polycystic ovarian syndrome.
4. Obesity
5. Drugs:
   • Androgens,
   • Anabolic steroids,
   • Methyltestosterone,
   • Minoxidil,
   • Diazoxide,
   • Phenytoin,
   • Glucocorticoids,
   • Cyclosporine.
   • Phenytoin,
6. Congenital adrenal hyperplasia.
7. Adrenal virilizing tumor.
8. Ovarian virilizing tumor:
   • Arrhenoblastoma,
   • Hilus cell tumor.
9. Pituitary adenoma.
10. Pregnancy
11. Insulin resistance
12. Cushing's syndrome.
13. Hypothyroidism (congenital and juvenile).
14. Acromegaly.
15. Androgen-secreting tumors of the ovaries
    • Sertoli-Leydig cell tumors,
    • Granulosa-theca cell tumors,
    • Hilus-cell tumors
16. Hyperprolactinemia
17. Testicular feminization.

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | Chest X Ray | CT | MRI | Echocardiography or Ultrasonography | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

• Androgenic hair
• Hypertrichosis
• Hair removal

References

• Ferriman D, Gallwey JD: Clinical assessment of body hair growth in women. Journal of Clinical Endocrinology 1961; 21:1440-1447.

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