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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 19-year-old woman seeks care for slowly progressive hair growth. Since high school, she has shaved her upper lip weekly and waxed her abdomen and thighs monthly. Her menstrual periods are regular. Physical examination is unremarkable except for a body-mass index (the weight in kilograms divided by the square of the height in meters) of 31 and trace hair over the abdomen
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.
Extract |
Full Text |
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N Engl J Med 2006;
354:1533-1535, Apr 6, 2006.
Correspondence
This article has been cited by other articles:
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