What Is Your Diagnosis? A Case of Excessive Hair Growth in a 51-Year-Old Woman

    March 2016 in “ Journal of the Turkish-German Gynecological Association ”
    Bekir Uçan, Mustafa Şahi̇n, Mustafa Özbek, Müyesser Saykı Arslan, Erman Çakal, Berna Uçan, Ömer Ant, Levent Şirvan, Mahir Yıldırım, Alper Dilli, Tuncay Delibaşı
    TLDR The woman likely has a hormonal imbalance causing excessive hair growth.
    A 51-year-old woman experienced excessive hair growth for seven years, with a Ferriman-Gallwey hirsutism score of 36. Despite no palpable abdominal masses and normal findings in a transvaginal ultrasound and MRI, her hormonal evaluation showed elevated testosterone levels at 761.15 ng/dL, while other hormone levels were within or near normal ranges. Mild clitoromegaly was noted, and after dexamethasone administration, her cortisol levels normalized. The diagnosis was not explicitly stated, but the findings suggested a hormonal imbalance as the cause of her symptoms.
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