Presentation
The highest concentrations are present in the preoptic area of the hypothalamus. [emedicine.medscape.com]
All patients with PCOS presented clinical and biochemical evidence of hiperandrogenism with oligoovulation and/or ultrasonographic appearance of polycystic ovaries. [journals.viamedica.pl]
If no criteria of malignancy are present, we should assess if borderline malignancy criteria are applicable. [sciencerepository.org]
Non-classic congenital adrenal hyperplasia (NCAH), caused by several mutations in CYP21A2 (6p21.3) gene, is the most common differential diagnosis for girls presented with symptoms of PCOS. [abstracts.eurospe.org]
Our longitudinal study in healthy non-obese, non-hyperandrogenic adolescents between 2 and 4 years postmenarche showed that PCOM is present in 33% of girls at 2, 3 and 4 years postmenarche ( Figure 1, with permission) (43). [scielo.br]
Entire Body System
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Weight Gain
Weight gain during adolescence carries a higher risk for early puberty, obesity and estrogen-dependent disease later in life, including polycystic ovary syndrome and breast cancer (62). [scielo.br]
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Abdominal Obesity
Effect of long-term treatment with metformin added to hypocaloric diet on body composition, fat distribution, and androgen and insulin levels in abdominally obese women with and without the polycystic ovary syndrome. [emedicine.medscape.com]
Skin
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Alopecia
Hyperandrogenism can lead to any or all of the following: Seborrhoea (oily skin) Acne Hidradenitis suppurativa Hirsutism Female pattern balding ( alopecia ) Male pattern balding in females Irregular menstruation Masculine appearance with increased muscle [dermnetnz.org]
Alopecia is very uncommon in the pediatric popu-lation. A recent retrospective series of 438 pediatric patients (boys and girls) demonstrated that androgenetic alopecia (AGA) is the cause of alopecia in 13% of children and 42% of adolescents. [scielo.br]
Prevalence of polycystic ovaries in women with androgenic alopecia. Eur J Endocrinol. 2003 Nov. 149(5):439-42. [Medline]. Kahana M, Grossman E, Feinstein A, Ronnen M, Cohen M, Millet MS. Skin tags: a cutaneous marker for diabetes mellitus. [emedicine.medscape.com]
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Acne Vulgaris
Sebum production from the PSU is also increased by androgens. [21] Acne vulgaris can be aggravated or initiated by increased androgen levels as the excess sebum production and the shedding of hyperkeratinized epithelium may occlude the hair follicle. [emedicine.medscape.com]
Workup
Biochemical workup showed high levels of dehydroepiandrosterone (DHEA) [above 1000mcg/dl] together with high levels of testosterone [1.7ng/ml]. [sciencerepository.org]
Treatment
Evaluation and treatment of hirsutism in premenopausal women: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2008 Apr. 93(4):1105-20. [Medline]. The evaluation and treatment of androgen excess. [emedicine.medscape.com]
Hormone therapy Treatment for patients with acne includes topical antiacne agents, oral antibiotics such as tetracycline, antiandrogens (hormone therapy, including birth control pill ) and oral isotretinoin. [dermnetnz.org]
The drugs involved in the treatment, the mechanism of action and the collateral effects are analyzed. [scielo.conicyt.cl]
Adrenalectomy is the standard of treatment, and laparoscopy should be performed when there is no evidence of malignancy [2, 7]. [sciencerepository.org]
Acne may be considered as HA during adolescence in some situations, such as in the presence of persistent comedones in prepubertal girls, in cases of widespread severe acne, and in cases who lack a response to standard treatment (23). [scielo.br]
Prognosis
Benign OAN has a relatively good prognosis after surgery, but malignant OAN have a survival rate of only 35-50% depending on the invasion rate Borderlin OAN prognosis is uncertain [3, 5]. [sciencerepository.org]
Etiology
Finally, the ovary etiology of hyperandrogenism was confirmed. This case report is an example of difficulties in recognition the etiology of hyperandrogenism. [wwww.unboundmedicine.com]
Finally, the ovary etiology of hyperandrogenism was confirmed. This case report is an example of difficulties in recognition the etiology of hyperandrogenism. Read this article (multiple options) Comments Related Papers [read.qxmd.com]
A retrospective study by Elhassan et al indicated that in women with androgen excess, the pattern of excess varies according to the etiology. [emedicine.medscape.com]
Hirsutism: implications, etiology, and management. Am J Obstet Gynecol. 1981;140(7):815-30. [ Links ] 17. Welt CK, Arason G, Gudmundsson JA, Adams J, Palsdottir H, Gudlaugsdottir G, et al. [scielo.br]
Epidemiology
In premenopausal women, polycystic ovary syndrome was the primary cause of severe DHEAS excess. [24] Epidemiology Frequency United States The prevalence of androgen excess is 8%. [emedicine.medscape.com]
Pathophysiology
Hyperandrogenism, insulin resistance, and acanthosis nigricans syndrome: a common endocrinopathy with distinct pathophysiologic features. Am J Obstet Gynecol. 1983 Sep 1. 147(1):90-101. [Medline]. Legro RS. [emedicine.medscape.com]
Polycystic ovarian morphology with regular ovulatory cycles: insights into the pathophysiology of polycystic ovarian syndrome. J Clin Endocrinol Metab. 2004;89(9):4343-50. [ Links ] 52. Pigny P, Jonard S, Robert Y, Dewailly D. [scielo.br]
Prevention
A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995 Feb 1. 273(5):402-7. [Medline]. Clark AM, Thornley B, Tomlinson L, Galletley C, Norman RJ. [emedicine.medscape.com]