Androgenic Alopecia in Post-Menopausal Female: A Clinical Presentation
Studysummary This case study discussed a postmenopausal female with androgenic alopecia and hirsutism due to a Leydig cell tumor, suggesting the importance of further workup in women with severe hirsutism or androgenic alopecia.
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A 68-year-old postmenopausal woman presented with increased scalp hair loss, excessive hair growth in undesired areas, and hirsutism unresponsive to medication. Investigations, including a CT scan and endocrinological workup, led to a diagnosis of hyperandrogenemia due to an ovarian tumor. She underwent an abdominal hysterectomy with bilateral salpingo-oophorectomy. Histopathology revealed a Leydig cell tumor in the right ovary, with no malignancy detected. The left ovary was normal. One month post-surgery, the patient showed significant improvement in symptoms. The study emphasized the need for thorough evaluation in women with severe hirsutism or androgenic alopecia to identify the source of androgen overproduction.
