Hirsutism epidemiology and demographics: Difference between revisions

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==Overview==
==Overview==
Hirsutism only affects women, since the rising of [[androgens]] causes a male pattern of body hair, particularly in locations where women normally do not develop [[terminal hair]] within their [[puberty]] ([[chest hair|chest]], [[abdominal hair|abdomen]], back and [[facial hair|face]]). The medical term for excessive hair growth that affect both men and women is [[hypertrichosis]].
Hirsutism only affects women, since the rising of [[androgens]] causes a male pattern of body hair, particularly in locations where women normally do not develop [[terminal hair]] within their [[puberty]] ([[chest hair|chest]], [[abdominal hair|abdomen]], back and [[facial hair|face]]). The medical term for excessive hair growth that affect both men and women is [[hypertrichosis]].


==Epidemiology and Demographics==
==Epidemiology and Demographics==  
The overall prevalence of hirsutism is unknown.
===Prevalence===
===Frequency===
*In the United States, the prevalence of hirsutism is about 10,000 per 100,000 individual.<ref name="Rosenfield2005">{{cite journal|last1=Rosenfield|first1=Robert L.|title=Hirsutism|journal=New England Journal of Medicine|volume=353|issue=24|year=2005|pages=2578–2588|issn=0028-4793|doi=10.1056/NEJMcp033496}}</ref><ref name="pmid9745406">{{cite journal| author=Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R| title=Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. | journal=J Clin Endocrinol Metab | year= 1998 | volume= 83 | issue= 9 | pages= 3078-82 | pmid=9745406 | doi=10.1210/jcem.83.9.5090 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9745406  }} </ref>  
The prevalence of hirsutism is about 10% in the United States, with the exception of Far-East Asian women who present with hirsutism less frequently.<ref name="pmid10">{{cite journal |vauthors=Schmoldt A, Benthe HF, Haberland G, Fleet GH, Phaff HJ, Duggleby RG, Kaplan H |title=Digitoxin metabolism by rat liver microsomes |journal=Biochem. Pharmacol. |volume=24 |issue=17 |pages=1639–41 |year=1975 |pmid=10 |doi= |url=}}</ref>. The prevalence rates in northern Europe are similar to those in the United States.
*In the United States, there are at least 4 million [[premenopausal]] women who suffer from hirsutism.<ref name="urlThe epidemiology of hirsutism in the general population and what causes it">{{cite web |url=http://www.hirsutism.com/hirsutism-biology/hirsutism-prevalence.shtml |title=The epidemiology of hirsutism in the general population and what causes it |format= |work= |accessdate=}}</ref>


In the US, there are said to be at least 4 million hirsute premenopausal women.<ref name="urlThe epidemiology of hirsutism in the general population and what causes it">{{cite web |url=http://www.hirsutism.com/hirsutism-biology/hirsutism-prevalence.shtml |title=The epidemiology of hirsutism in the general population and what causes it |format= |work= |accessdate=}}</ref>
===Race===
*Hirsutism is more prevalent in the Mediterranean, Middle Eastern, European, and South Asian races.<ref name="Franks2012">{{cite journal|last1=Franks|first1=Stephen|title=The investigation and management of hirsutism|journal=Journal of Family Planning and Reproductive Health Care|volume=38|issue=3|year=2012|pages=182–186|issn=1471-1893|doi=10.1136/jfprhc-2011-100175}}</ref>
*Hirsutism usually affects Hispanic women with polycystic ovarian cysts more than the non-Hispanic women.<ref name="pmid28104402">{{cite journal| author=Engmann L, Jin S, Sun F, Legro RS, Polotsky AJ, Hansen KR et al.| title=Racial and ethnic differences in the polycystic ovary syndrome metabolic phenotype. | journal=Am J Obstet Gynecol | year= 2017 | volume= 216 | issue= 5 | pages= 493.e1-493.e13 | pmid=28104402 | doi=10.1016/j.ajog.2017.01.003 | pmc=5420474 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28104402  }} </ref>
*There is no difference in the prevalence of hirsutism between the white and black races.<ref name="pmid16449347">{{cite journal| author=DeUgarte CM, Woods KS, Bartolucci AA, Azziz R| title=Degree of facial and body terminal hair growth in unselected black and white women: toward a populational definition of hirsutism. | journal=J Clin Endocrinol Metab | year= 2006 | volume= 91 | issue= 4 | pages= 1345-50 | pmid=16449347 | doi=10.1210/jc.2004-2301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16449347  }} </ref><ref name="pmid9745406">{{cite journal| author=Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R| title=Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. | journal=J Clin Endocrinol Metab | year= 1998 | volume= 83 | issue= 9 | pages= 3078-82 | pmid=9745406 | doi=10.1210/jcem.83.9.5090 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9745406  }} </ref>


Hirsutism is more common in Meditarranean, Middle Eastern, European and South Asian women.<ref name="urlHirsutism | University of Maryland Medical Center">{{cite web |url=http://www.umm.edu/health/medical/altmed/condition/hirsutism |title=Hirsutism &#124; University of Maryland Medical Center |format= |work= |accessdate=}}</ref>
===Gender===
*Hirsutism is more prevalent in women, and it is mainly described as a phenomenon in women rather than men.  
*Early growth of hair in the pre-[[pubertal]] children is an indicator of [[precocious puberty]] and it may be a sign of an underlying medical condition.


===Race===
===Age===
While some studies may suggest differences in the prevalence of hirsutism amongst races, others suggest that there is no significant difference in the degree of facial and body terminal hair growth in dark-skinned individuals when compared to white women.<ref name="pmid16449347">{{cite journal| author=DeUgarte CM, Woods KS, Bartolucci AA, Azziz R| title=Degree of facial and body terminal hair growth in unselected black and white women: toward a populational definition of hirsutism. | journal=J Clin Endocrinol Metab | year= 2006 | volume= 91 | issue= 4 | pages= 1345-50 | pmid=16449347 | doi=10.1210/jc.2004-2301 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16449347  }} </ref><ref name="pmid9745406">{{cite journal| author=Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R| title=Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. | journal=J Clin Endocrinol Metab | year= 1998 | volume= 83 | issue= 9 | pages= 3078-82 | pmid=9745406 | doi=10.1210/jcem.83.9.5090 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9745406  }} </ref> The prevalence of hirsutism among women with PCOS, between the ages of 18-40 years was seen to be significantly higher in Hispanic women when compared to non-Hispanic white women.<ref name="pmid28104402">{{cite journal| author=Engmann L, Jin S, Sun F, Legro RS, Polotsky AJ, Hansen KR et al.| title=Racial and ethnic differences in the polycystic ovary syndrome metabolic phenotype. | journal=Am J Obstet Gynecol | year= 2017 | volume= 216 | issue= 5 | pages= 493.e1-493.e13 | pmid=28104402 | doi=10.1016/j.ajog.2017.01.003 | pmc=5420474 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28104402  }} </ref>
*[[Prevalence]] of hirsutism increases during [[puberty]] ages.  


==References==
==References==

Latest revision as of 00:24, 7 November 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], Rasam Hajiannasab M.D.[3], Ahmed Elsaiey, MBBCH [4]

Overview

Hirsutism only affects women, since the rising of androgens causes a male pattern of body hair, particularly in locations where women normally do not develop terminal hair within their puberty (chest, abdomen, back and face). The medical term for excessive hair growth that affect both men and women is hypertrichosis.

Epidemiology and Demographics

Prevalence

  • In the United States, the prevalence of hirsutism is about 10,000 per 100,000 individual.[1][2]
  • In the United States, there are at least 4 million premenopausal women who suffer from hirsutism.[3]

Race

  • Hirsutism is more prevalent in the Mediterranean, Middle Eastern, European, and South Asian races.[4]
  • Hirsutism usually affects Hispanic women with polycystic ovarian cysts more than the non-Hispanic women.[5]
  • There is no difference in the prevalence of hirsutism between the white and black races.[6][2]

Gender

  • Hirsutism is more prevalent in women, and it is mainly described as a phenomenon in women rather than men.
  • Early growth of hair in the pre-pubertal children is an indicator of precocious puberty and it may be a sign of an underlying medical condition.

Age

References

  1. Rosenfield, Robert L. (2005). "Hirsutism". New England Journal of Medicine. 353 (24): 2578–2588. doi:10.1056/NEJMcp033496. ISSN 0028-4793.
  2. 2.0 2.1 Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R (1998). "Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study". J Clin Endocrinol Metab. 83 (9): 3078–82. doi:10.1210/jcem.83.9.5090. PMID 9745406.
  3. "The epidemiology of hirsutism in the general population and what causes it".
  4. Franks, Stephen (2012). "The investigation and management of hirsutism". Journal of Family Planning and Reproductive Health Care. 38 (3): 182–186. doi:10.1136/jfprhc-2011-100175. ISSN 1471-1893.
  5. Engmann L, Jin S, Sun F, Legro RS, Polotsky AJ, Hansen KR; et al. (2017). "Racial and ethnic differences in the polycystic ovary syndrome metabolic phenotype". Am J Obstet Gynecol. 216 (5): 493.e1–493.e13. doi:10.1016/j.ajog.2017.01.003. PMC 5420474. PMID 28104402.
  6. DeUgarte CM, Woods KS, Bartolucci AA, Azziz R (2006). "Degree of facial and body terminal hair growth in unselected black and white women: toward a populational definition of hirsutism". J Clin Endocrinol Metab. 91 (4): 1345–50. doi:10.1210/jc.2004-2301. PMID 16449347.

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