Clinical and Investigative Study of Hirsutism
January 2019
in “
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
”
hirsutism idiopathic hirsutism PCOS HAIR-AN syndrome hypothyroidism late-onset CAH acne female pattern hair loss acanthosis nigricans serum LH LH:FSH ratio serum 17-OH progesterone insulin resistance HOMA-IR polycystic ovary syndrome congenital adrenal hyperplasia luteinizing hormone follicle-stimulating hormone 17-hydroxyprogesterone
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.