Hirsutism and Virilization Flashcards

1
Q

3 drugs that can cause Hirsutism

A
  • minoxidil, valproic acid, phenytoin

- Emotional distress/depression

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2
Q

Endocrine etiologies for Virilization, (endo and exogenous)

A
polycystic ovary syndrome (PCOS)
Cushing syndrome,
congenital adrenal hyperplasia
androgen medication use
androgen-secreting tumors, or
carcinoma
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3
Q

virilization, cxfx

A

clitoromegaly, deepening of voice, irregular menstrual periods, acne, and increased muscle mass

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4
Q

When hirsutism is present, who should get biochemical tests?

A

Those with irregular menstrual periods and signs of virilization.

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5
Q

What tests should be obtained?

A
Prolactin
DHEA (Dehydroepiandrosterone)
testosterone levels, 
FSH/LH, 
17- hydroxyprogesterone.
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6
Q

What is the therapy for hirsutism?

A

Oral contraceptive
Antiandrogens (spironolactone, finasteride)
Metformin is given only for PCOS.

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