Hirsutism overview: Difference between revisions
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Treatment options include: Cosmetic and hormonal therapy .Cosmetic therapy includes shaving, waxing , laser hair removal therapy , etc. Hormonal therapy includes : [[oral contraceptive]]<nowiki/>s, finestride , [[spironolactone]] ,etc. | Treatment options include: Cosmetic and hormonal therapy .Cosmetic therapy includes shaving, waxing , laser hair removal therapy , etc. Hormonal therapy includes : [[oral contraceptive]]<nowiki/>s, finestride , [[spironolactone]] ,etc. | ||
==Historical Perspective== | ==Historical Perspective== | ||
Throughout the history hirsutism has been regarded as a syndrome of hair growth in women in a male pattern , [[obesity]] and menstural irregularity (Apert, 1910) . Other authors considered hirsutism as [[masculine]] hair growth only(Howard and Whitehill, 1937; Glass and Bergman, 1938). Hirsutism has been the most outstanding symptom in [[virilism]] and [[masculinization]] and also the major feature of adreno-genital syndrome which was introduced in 1905 by Bulloch and Sequiera.<ref>{{cite journal|title=CHAPTER I: A Clinical and Historical Review of Hirsutism, Cushing's Syndrome and Precocious Puberty|journal=Acta Medica Scandinavica|volume=116|issue=S149|year=2009|pages=1–9|issn=00016101|doi=10.1111/j.0954-6820.1944.tb01683.x}}</ref> | |||
==Classification== | ==Classification== | ||
Revision as of 17:03, 21 September 2017
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Hirsutism overview On the Web |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: ; Ogheneochuko Ajari, MB.BS, MS [2],Rasam Hajiannasab M.D.[3]
Overview
Hirsutism (from Latin hirsutus = shaggy, hairy) is defined as excessive and increased hair growth in women in locations where the occurrence of terminal hair normally is minimal or absent. It refers to a male pattern of body hair (androgenic hair) and it is therefore primarily of cosmetic and psychological concern. Hirsutism is a symptom rather than a disease and may be a sign of a more serious medical indication, especially if it develops well after puberty.
It affects 5-15% of women . In most of the cases there is an underlying hormonal imbalance . Excessive amount of androgen plays a major role, as 70% of patients with excessive androgen will develop hirsutism. However in 5 to 15% of patients suffering from hirsutism , there is no increase in androgen level and are considered as idiopathic hirsutism. About 50% of hirsutism cases have high androgen level. Free testosterone is the main circulating androgen and is often elevated in hirsute women and the level of androgens and hair follicle sensitivity to androgens play the major role .[1] Ovulatory dysfunction (PCOs), diabetes, thyroid hormone abnormalities and CAH are some of the underlying causes for hirsutism.[2]
There is a scoring system which is called Ferriman–Gallwey scale, which quantitates the extent of hair growth in the most androgen-sensitive sites and patients with a score of 8 or more ,would be considered a hirstue .Hirsutism must be distinguished from hypertrichosis which is a result of either heredity or the use of medications such as glucocorticoids, phenytoin, minoxidil, or cyclosporine. Hypertrichosis is not caused by excess androgen.[2]
Pubertal onset hirsutism specially when it is mild ,points toward PCOS or idiopathic hirsutism but sever late onset hirsutim with other virlization signs can be due to ovarian or adrenal tumors. Hirsutism can lead to significant psychological distress for women and even depression if left untreated and based on the underlying cause other medical complications can occur (e.g. in cases of hirsutism due to PCOS , if the treatment doesn't address PCOS , it can lead to infertility.) Prognosis depend on underlying etiology .
Treatment options include: Cosmetic and hormonal therapy .Cosmetic therapy includes shaving, waxing , laser hair removal therapy , etc. Hormonal therapy includes : oral contraceptives, finestride , spironolactone ,etc.
Historical Perspective
Throughout the history hirsutism has been regarded as a syndrome of hair growth in women in a male pattern , obesity and menstural irregularity (Apert, 1910) . Other authors considered hirsutism as masculine hair growth only(Howard and Whitehill, 1937; Glass and Bergman, 1938). Hirsutism has been the most outstanding symptom in virilism and masculinization and also the major feature of adreno-genital syndrome which was introduced in 1905 by Bulloch and Sequiera.[3]
Classification
Pathophysiology
Causes
Differentiating ((hirsutism)) from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
References
- ↑ Schmoldt A, Benthe HF, Haberland G, Voigt R, Krause W, Voigt P (1975). "Digitoxin metabolism by rat liver microsomes". Biochem. Pharmacol. 24 (17): 1639–41. PMID 10.
- ↑ 2.0 2.1 Rosenfield, Robert L. (2005). "Hirsutism". New England Journal of Medicine. 353 (24): 2578–2588. doi:10.1056/NEJMcp033496. ISSN 0028-4793.
- ↑ "CHAPTER I: A Clinical and Historical Review of Hirsutism, Cushing's Syndrome and Precocious Puberty". Acta Medica Scandinavica. 116 (S149): 1–9. 2009. doi:10.1111/j.0954-6820.1944.tb01683.x. ISSN 0001-6101.