This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the author's clinicalrecommendations.
A 19-year-old woman seeks care for slowly progressive hair growth.Since high school, she has shaved her upper lip weekly and waxedher abdomen and thighs monthly. Her menstrual periods are regular.Physical examination is unremarkable except for a body-massindex (the weight in kilograms divided by the square of theheight in meters) of 31 and trace hair over the abdomen . . . [Full Text of this Article]
The Clinical Problem
Pathogenesis
Strategies and Evidence
Differential Diagnosis
Diagnostic Strategies
Management
Cosmetic and Physical Measures
Hormonal Treatments
EstrogenProgestin Oral Contraceptives
Antiandrogens
Other Hormonal Therapies
Areas of Uncertainty
Guidelines
Summary and Recommendations
Source Information
From the Department of Pediatrics and Medicine, University of Chicago, Pritzker School of Medicine, Chicago.
Address reprint requests to Dr. Rosenfield at the Department of Pediatrics and Medicine, University of Chicago, Pritzker School of Medicine, Section of Pediatric Endocrinology, 5841 S. Maryland Ave., MC-5053, Chicago, IL 60637, or at robros@peds.bsd.uchicago.edu.
Related Letters:
Hirsutism
Willenberg H. S., Bahlo M., Scherbaum W. A., de Zegher F., Dunger D. B., Ibáñez L., Rosenfield R. L.
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N Engl J Med 2006;
354:1533-1535, Apr 6, 2006.
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