Hirsutism history and symptoms: Difference between revisions
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===Symptoms=== | ===Symptoms=== | ||
*[[Virilizing]] signs such as; | *[[Virilizing]] signs such as;<ref name="pmid2856356">{{cite journal |vauthors=Wee S, Neilands JB, Bittner ML, Hemming BC, Haymore BL, Seetharam R |title=Expression, isolation and properties of Fur (ferric uptake regulation) protein of Escherichia coli K 12 |journal=Biol Met |volume=1 |issue=1 |pages=62–8 |year=1988 |pmid=2856356 |doi= |url=}}</ref> | ||
**Change in voice or deepening voice | **Change in voice or deepening voice | ||
**[[Male pattern baldness]] | **[[Male pattern baldness]] | ||
Revision as of 13:05, 10 October 2017
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Hirsutism Microchapters |
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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] Rasam Hajiannasab M.D.[3]
Overview
Hirsutism affects members of any gender, since rising androgen levels can cause excessive body hair, particularly in locations where women normally do not develop terminal hair during puberty (chest, abdomen, back, and face). Signs that are suggestive of an androgen-secreting tumor in a patient with hirsutism is rapid onset, virilization and palpable abdominal mass.
History and Symptoms
History
A good and accurate history of the onset and developmental milestones are important and useful in making a diagnosis of hirsutism.Ruutiainen K, Erkkola R, Grönroos MA, Irjala K (1988). "Influence of body mass index and age on the grade of hair growth in hirsute women of reproductive ages". Fertil. Steril. 50 (2): 260–5. PMID 3396696.
- Age of Onset
- During puberty, idiopathic hirsutism and other less serious causes of hirsutism usually begins.
- Hirsutism in middle-aged or older women may suggest an adrenal or ovarian tumor.
- Family History: Congenital adrenal hyperplasia (CAH) in a patient with a family history of hirsutism is consistent with the diagnosis. Idiopathic hirsutism and polycystic ovary syndrome (PCOS) could also be familial and maybe suggestive in making a diagnosis.
- Hirsutism severity and rate of progression
- A benign form of hirsutism is usually characterized by pubertal onset with slow progression over many years. This is often true of hirsutism with PCOS.
- An androgen-secreting tumor is a possibility with a history of rapid severe hirsutism or other signs of virilization.
- Adrenarche and Puberty: Early development of pubic hair is a pointer towards CAH.
Symptoms
- Virilizing signs such as;[1]
- Change in voice or deepening voice
- Male pattern baldness
- Excess facial and body hair
- Clitoromegaly (enlargement of the clitoris)
- Increased muscle mass
- Acne
- Decreased breast size (small breasts)
- Amenorrhea
- Increase in libido
- Signs of insulin resistance (eg. acanthosis nigricans, abdominal obesity)