Hirsutism differential diagnosis

Hirsutism Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hirsutism from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Echocardiography or Ultrasonography
Treatment
Medical Therapy Pharmacological therapy Non-pharmacological therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Hirsutism differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Hirsutism differential diagnosis
CDC on Hirsutism differential diagnosis
Hirsutism differential diagnosis in the news
Blogs on Hirsutism differential diagnosis
Directions to Hospitals Treating Hirsutism differential diagnosis
Risk calculators and risk factors for Hirsutism differential diagnosis

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

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

Diagnosis	Incidence	Onset	Common symptom
❑ Polycystic ovary syndrome ❑ Idiopathic hirsutism ❑ Congenital adrenal hyperplasia ❑ Ovarian and androgen secreting tumors ❑ Drug induced ❑ HAIR-AN Syndrome	❑ 70-85% ❑ 5-15% ❑ 1-8% ❑ 0.3-0.1% ❑ 0.5-1% ❑ 3-4%	❑ PCOS insidious ❑ Idiopathic hirsutism Insidious ❑ CAH rapid ❑ Tumors rapid ❑ HAIRAN syndrome insidious	❑ Irregular menses, hyperandrogenism, polycystic ovary ❑ No known cause, normal ovaries, normal anbdrogens ❑ Total testosterone > 200ng and does not respond to treatment ❑ Related to medications (steroids, danazol etc) ❑ Subset of PCOS with insulin resistance and acanthosis nigricans