Visual Diagnosis: An Adolescent Female With Increasing Hair Growth

    July 2001 in “ Pediatrics in review
    Tamar Stricker, Francesca Navratil, Felix H. Sennhauser
    TLDR The girl has a hormonal imbalance causing increased hair growth and other male characteristics.
    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.
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