A Complex Clinical Situation in Polycystic Ovary Syndrome: HAIR-AN Syndrome Case Report

    January 2025 in “ Case Reports in Medicine
    Ramin Alizadeh Gheshlagh, Şenay Topsakal
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    TLDR Early detection, consistent management, and lifestyle changes are crucial for managing HAIR-AN syndrome effectively.
    This case report focuses on a 17-year-old girl with HAIR-AN syndrome, a subphenotype of PCOS marked by hyperandrogenism, insulin resistance, and acanthosis nigricans. The patient experienced symptoms such as androgenetic alopecia, obesity, and hirsutism, with laboratory tests confirming severe insulin resistance. Despite medical advice for lifestyle changes and metformin treatment, noncompliance led to symptom worsening, underscoring the importance of early detection and consistent management. The report highlights the need for lifestyle modifications, pharmacological interventions, and psychiatric support to manage HAIR-AN syndrome effectively, as it poses increased cardiovascular risks and fertility challenges. The study suggests environmental and lifestyle factors play a significant role, advocating for a multidisciplinary approach to improve long-term outcomes.
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