Hirsutism classification: Difference between revisions
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In the modified method, hair growth is rated from 0 (no growth of terminal hair) to 4 (extensive hair growth) in each of the nine locations. A patient's score may therefore range from a minimum score of 0 to a maximum score of 36. In Caucasian women, a score of 8 or higher is regarded as indicative of androgen excess. With other ethnic groups, the amount of hair expected for that ethnicity should be considered. | In the modified method, hair growth is rated from 0 (no growth of terminal hair) to 4 (extensive hair growth) in each of the nine locations. A patient's score may therefore range from a minimum score of 0 to a maximum score of 36. In Caucasian women, a score of 8 or higher is regarded as indicative of androgen excess. With other ethnic groups, the amount of hair expected for that ethnicity should be considered. | ||
The method was further modified in 2001 to include a total of 19 locations, with the 10 extra locations being; sideburns, neck, buttocks, inguinal area, perianal area, forearm, leg, foot, toes and fingers. Each area has its own specified definition of the four-point scale. | The method was further modified in 2001 to include a total of 19 locations, with the 10 extra locations being; sideburns, neck, buttocks, inguinal area, perianal area, forearm, leg, foot, toes and fingers. Each area has its own specified definition of the four-point scale.<ref>Goodman N, Bledsoe M, Cobin R, Futterweit W, Goldzieher J, Petak S, Smith K, Steinberger E: [https://www.aace.com/sites/default/files/hyperandrogenism2001.pdf "American Association of Clinical Endocrinologists Hyperandrogenism Guidelines"]. ''Endocrine Practice'' 2001; 7(2):120–134</ref> | ||
==References== | ==References== | ||
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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
Hirsutism is classified using 11 body areas to assess hair growth using the Ferriman–Gallwey score, a method of evaluating and quantifying hirsutism in women.
Classification
The Ferriman–Gallwey score is a method of evaluating and quantifying hirsutism in women. The method was originally published in 1961 by D. Ferriman and J.D. Gallwey in the Journal of Clinical Endocrinology.[1]. The original method used 11 body areas to assess hair growth, but was decreased to 9 body areas in the modified method:
- Upper lip
- Chin
- Chest
- Upper back
- Lower back
- Upper abdomen
- Lower abdomen
- Upper arms
- Forearms (deleted in the modified method)
- Thighs
- Legs (deleted in the modified method)
In the modified method, hair growth is rated from 0 (no growth of terminal hair) to 4 (extensive hair growth) in each of the nine locations. A patient's score may therefore range from a minimum score of 0 to a maximum score of 36. In Caucasian women, a score of 8 or higher is regarded as indicative of androgen excess. With other ethnic groups, the amount of hair expected for that ethnicity should be considered.
The method was further modified in 2001 to include a total of 19 locations, with the 10 extra locations being; sideburns, neck, buttocks, inguinal area, perianal area, forearm, leg, foot, toes and fingers. Each area has its own specified definition of the four-point scale.[2]
References
- ↑ FERRIMAN D, GALLWEY JD (1961). "Clinical assessment of body hair growth in women". J Clin Endocrinol Metab. 21: 1440–7. doi:10.1210/jcem-21-11-1440. PMID 13892577.
- ↑ Goodman N, Bledsoe M, Cobin R, Futterweit W, Goldzieher J, Petak S, Smith K, Steinberger E: "American Association of Clinical Endocrinologists Hyperandrogenism Guidelines". Endocrine Practice 2001; 7(2):120–134