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Hirsutism and Hypertrichosis
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> Hirsutism - androgen dependant (women) Hypertrichosis - androgen independant ''Cause Hisutism'' PCOS - most common Cushings Congenital adrenal hyperplasia androgen therapy obesity (peripheral conversion of estrogen to androgen) adrenal tumour androgen secreting ovarian tumour phenytoin assess hirsutism via FerrimanGalway - 9 body areas, score 0-4 each, >15 is moderate to severe Mx weight loss if over Cosmesis - waxing / bleaching (not on NHS) COCP - Dianette (only for 6/12 as VTE risk - Co-Cyprindiol) or Yasmin (EE + Drospirenone) facial - topical eflornithine (not if pregnant or breast feeding) ''Causes of Hypertrichosis'' Minoxidil, ciclosporin, diazoxide congenital hypertrichosis lanuginosa or terminalis porphyria cutanea tarda anorexia nervosa
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Dermatology