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Correspondence
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Volume 354:1533-1535 April 6, 2006 Number 14
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Hirsutism

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 by Rosenfield, R. L.
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To the Editor: Rosenfield (Dec. 15 issue)1 states in his article on hirsutism that it is reasonable to forgo laboratory evaluation if hirsutism is mild and menses are regular and that routine testing for androgens other than testosterone is of little use. In addition, he states that testosterone arises also from androstenedione and dehydroepiandrosterone sulfate.

On the basis of our recent experience with more than 400 women who had been evaluated for hirsutism, we found that more than 80 percent fulfilled the diagnostic criteria for either adrenal enzyme deficiencies or the polycystic ovary syndrome. Since these conditions may necessitate further . . . [Full Text of this Article]


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