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Hirsutism.

R S Rittmaster, D L Loriaux

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    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Hirsutism, excess body hair in women, is typically androgen-driven, originating from adrenal glands or ovaries. Identifying the cause is key, as treatments vary, especially for idiopathic hirsutism.

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    Area of Science:

    • Endocrinology
    • Gynecology
    • Dermatology

    Background:

    • Hirsutism, characterized by excess body hair in women, is a common endocrine disorder.
    • It often leads to significant psychological distress.
    • The condition is primarily mediated by androgens, hormones produced by the adrenal glands and gonads.

    Purpose of the Study:

    • To outline the diagnostic evaluation for hirsutism.
    • To differentiate between various potential causes of hirsutism.
    • To discuss treatment implications based on identified causes.

    Main Methods:

    • Clinical evaluation to identify the source of androgen excess.
    • Assessment of adrenal and ovarian function.
    • Differential diagnosis considering adrenal and ovarian pathologies.

    Main Results:

    • Hirsutism causes are localized to adrenal glands or gonads.
    • Adrenal causes include Cushing's disease, tumors, and congenital adrenal hyperplasia.
    • Ovarian causes include tumors, polycystic ovarian syndrome, and idiopathic hirsutism.

    Conclusions:

    • Identifying the specific cause of hirsutism guides treatment decisions.
    • Treatment is straightforward when an underlying abnormality like an ovarian tumor is found.
    • Management of idiopathic hirsutism remains uncertain, with multiple therapeutic options available.