Visual Diagnosis: An Adolescent Female With Increasing Hair Growth

A 14-year-old girl presented with increasing hair growth on her face and trunk over the past 2 years, along with a deepening voice. She had normal breast and pubic hair development starting at age 11 and began menstruating at age 12, with periods occurring every 4 to 8 weeks. She was in good health, had no history of serious illness, and was not on any medications. Physical examination showed a well-nourished female with a deep voice, receding frontal hairline, and dark hair on her upper lip and chin, along with minimal facial acne. Her vital signs were normal, and she had always been the tallest in her class.