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Published on: October 2, 2018
Concurrent Poland anomaly and idiopathic hirsutism
Tevfik Sabuncu1, Yasar Nazligul, Mehmet Horoz
1Department of Endocrinology and Metabolism, Medical Faculty, Harran University, Sanliurfa, Turkey. Tel. +90 (414) 3125138. Fax. + 90 (414) 3142900.
Poland syndrome typically affects the chest and arm. This case report details a rare instance of Poland syndrome presenting with severe hirsutism in a 15-year-old female, without limb abnormalities.
Area of Science:
- Medical Genetics
- Dermatology
- Plastic Surgery
Background:
- Poland syndrome is a congenital condition characterized by unilateral pectoralis major muscle absence and upper limb anomalies.
- Associated anomalies can vary, but limb malformations are common.
- Hirsutism is not a typical feature of Poland syndrome.
Purpose of the Study:
- To report the first documented case of severe hirsutism in a patient diagnosed with Poland syndrome.
- To highlight the potential for atypical presentations of Poland syndrome.
Main Methods:
- Case report of a 15-year-old Caucasian female.
- Clinical examination including Ferriman-Gallwey scoring for hirsutism.
- Assessment for hormonal abnormalities and family history.
Main Results:
- The patient presented with unilateral breast hypoplasia, chest wall deformity, pectoralis major agenesis, and severe hirsutism (Ferriman-Gallwey score: 21).
- No upper limb anomaly was observed.
- Regular menses, no hormonal abnormalities, and no family history of hirsutism were noted.
Conclusions:
- This case represents a unique association of Poland syndrome with idiopathic hirsutism.
- Poland syndrome can manifest with unexpected symptoms beyond its typical presentation.
- Further research may be needed to explore potential underlying genetic or developmental links.
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