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Hirsutes. I: Diagnosis

R Young1, R Sinclair

  • 1University of Melbourne, Department of Medicine (Dermatology), St Vincent's Hospital, Fitzroy, Victoria, Australia.

The Australasian Journal of Dermatology
|April 8, 1998
PubMed
Summary
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Hirsutism, or coarse hair growth in women, is often idiopathic, meaning the cause is unknown. Doctors must distinguish normal variations from conditions like androgen excess, excluding serious issues such as ovarian tumors.

Area of Science:

  • Endocrinology
  • Dermatology
  • Women's Health

Background:

  • Hirsutism, characterized by coarse, androgen-dependent hair growth in women, is a prevalent clinical concern.
  • Presentation varies based on cultural and racial factors, necessitating careful clinical evaluation.
  • Distinguishing normal biological variation from pathological hirsutism is crucial for patient management.

Purpose of the Study:

  • To outline the various causes of hirsutism in women.
  • To provide a framework for differentiating hirsutism using clinical history, physical examination, and investigations.
  • To emphasize the importance of excluding significant underlying pathologies.

Main Methods:

  • Review of clinical presentation and diagnostic approaches for hirsutism.

Related Experiment Videos

  • Emphasis on differentiating idiopathic hirsutism from secondary causes.
  • Guidance on utilizing patient history, physical examination findings, and laboratory/imaging investigations.

    • Main Results:

    • The majority of hirsutism cases are idiopathic, with androgen excess localized to the hair follicle.
    • Serious conditions, including ovarian tumors, must be systematically excluded.
    • A structured approach aids in accurate diagnosis and appropriate patient care.

    Conclusions:

    • Effective management of hirsutism requires a thorough diagnostic process.
    • Understanding the spectrum of causes, from benign to malignant, is essential.
    • Clinical differentiation is key to identifying and treating the underlying etiology of hirsutism.