Hirsutism history and symptoms

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Hirsutism Microchapters

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Historical Perspective

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Differentiating Hirsutism from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

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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 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.

  • 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.
  • 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.

Symptoms

References

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