Ausgeprägte Virilisierung in der Postmenopause - eine Falldarstellung

Severe virilization in postmenopausal women was a rare occurrence in clinical practice. This case report described a postmenopausal woman who experienced significant hirsutism and androgenetic alopecia. Diagnostic imaging ruled out a malignant tumor as the cause of her hyperandrogenism. Further investigation through selective venous sampling revealed elevated testosterone levels in the right adrenal vein, suggesting an adrenal origin. As a therapeutic measure, a right adrenalectomy and prophylactic oophorectomy were recommended to the patient.