Visual Diagnosis: An Adolescent Female With Increasing Hair Growth

In 2001, a study was conducted on a 14-year-old girl who had been experiencing increased hair growth on her face and trunk for two years. Her parents also noted that her normally low-pitched voice had become even lower in the past few months. She had started developing breast and pubic hair at 11 years old, and her menstrual periods began at around 12 years old. She was in good health, had never had any serious illness, and denied taking any medications. Physical examination revealed a deep voice, receding frontal hairline, and conspicuous, dark hair over the upper lip and chin. She also had minimal facial acne. Her vital signs were normal.