Hirsutism differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
* Adrenal Tumors | * [[Adrenal Tumor|Adrenal Tumors]] | ||
* Ovarian | * [[Ovarian tumor|Ovarian Tumor]]<nowiki/>s | ||
* Congenital Adrenal Hyperplasia | * [[Congenital adrenal hyperplasia|Congenital Adrenal Hyperplasia]] | ||
* Exogenous Androgens | * Exogenous Androgens | ||
* Cushing Syndrome | * [[Cushing's syndrome|Cushing Syndrome]] | ||
* Idiopathic Hirsutism | * Idiopathic Hirsutism | ||
* Polycystic Ovary Disease<ref name="urlHirsutism Differential Diagnoses">{{cite web |url=http://emedicine.medscape.com/article/121038-differential?src=refgatesrc1 |title=Hirsutism Differential Diagnoses |format= |work= |accessdate=}}</ref> | * [[Polycystic Ovary Disease]]<ref name="urlHirsutism Differential Diagnoses">{{cite web |url=http://emedicine.medscape.com/article/121038-differential?src=refgatesrc1 |title=Hirsutism Differential Diagnoses |format= |work= |accessdate=}}</ref> | ||
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❑ CAH rapid <br><br> | ❑ CAH rapid <br><br> | ||
❑ Tumors rapid <br> | ❑ Tumors rapid <br> | ||
Revision as of 15:34, 14 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: ;Ogheneochuko Ajari, MB.BS, MS [2]
Overview
The diagnosis of hirsutism requires the exclusion of related disorders with peripheral androgen activity. Hirsutism starts shortly after puberty with a slow course and progression.
Differential Diagnosis
- Adrenal Tumors
- Ovarian Tumors
- Congenital Adrenal Hyperplasia
- Exogenous Androgens
- Cushing Syndrome
- Idiopathic Hirsutism
- Polycystic Ovary Disease[1]
| Diagnosis | Incidence | Onset | Common symptom |
| ❑ Polycystic ovary syndrome ❑ Congenital adrenal hyperplasia ❑ Ovarian and androgen secreting tumors ❑ Drug induced |
❑ 70-85% ❑ 5-15% ❑ 1-8% ❑ 0.3-0.1%
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❑ PCOS insidious ❑ Idiopathic hirsutism Insidious
❑ HAIRAN syndrome insidious |
❑ Irregular menses, hyperandrogenism, polycystic ovary
❑ Total testosterone > 200ng and does not respond to treatment ❑ Related to medications (steroids, danazol etc) ❑ Subset of PCOS with insulin resistance and acanthosis nigricans |