Clinical and Investigative Study of Hirsutism

    Vaishali Wankhade, Vrutika H Shah, Suyash Singh Tomar, Rajesh Singh
    Studysummary This study found that idiopathic hirsutism was the most common cause of hirsutism among patients, and insulin resistance was significant in those with Hyperandrogenic Insulin Resistant Acanthosis Nigricans Syndrome.
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    This study investigated the causes and characteristics of hirsutism in 50 female patients, finding that idiopathic hirsutism was the most common cause (40%), followed by PCOS (32%), HAIR-AN syndrome (16%), hypothyroidism (8%), and late-onset CAH (4%). Associated symptoms included acne (40%), female pattern hair loss (26%), and acanthosis nigricans (20%). Significant findings included elevated serum LH and LH:FSH ratio in PCOS and CAH, and increased serum 17-OH progesterone in CAH. The HAIR-AN group showed significant differences in waist circumference, serum fasting insulin, and HOMA-IR, highlighting the need to assess insulin resistance in hirsutism patients with acanthosis nigricans for appropriate management.
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