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Iran Red Crescent Med J. 2014 Jun;16(6):e9410. doi: 10.5812/ircmj.9410. Epub 2014 Jun 05.

Mixed form of hirsutism in an adolescent female and laser therapy.

Iranian Red Crescent medical journal

Besa Gacaferri Lumezi, Aferdita Goci, Violeta Lokaj, Hatixhe Latifi, Natyra Karahoda, Ganimete Minci, Drita Telaku, Antigona Gercari, Allma Kocinaj

Affiliations

  1. Department of Physiology and Immunology, University Clinical Center of Kosovo, Pristina, Kosovo.
  2. Child and Adolescent Mental Health Center, University Clinical Center of Kosovo, Pristina, Kosovo.
  3. Department of Pediatrics, University Clinical Center of Kosovo, Pristina, Kosovo.
  4. Department of Dermatology, University Clinical Center of Kosovo, Pristina, Kosovo.

PMID: 25068069 PMCID: PMC4103002 DOI: 10.5812/ircmj.9410

Abstract

INTRODUCTION: Hirsutism is a common disorder of excess growth of terminal hair in an androgen-dependent male distribution in women, including the chin, upper lip, breasts, back, and abdomen. It is very important to identify the etiology of hirsutism and adequate treat is prior to any cosmetic therapy.

CASE PRESENTATION: The case was a 17-year-old female with severe hirsutism, oligomenorrhea, and obesity. She was evaluated to identify the etiology and diagnosed as a case of polycystic ovarian syndrome (PCOS), nonclassic congenital adrenal hyperplasia (NC-CAH), and hyperandrogenic insulin-resistant acanthosis nigricans (HAIR-AN) syndrome, which is a rare combination of hirsutism etiology. She was successfully treated according to the underlying pathology, and laser photoepilation was used as the preferred hair removal method.

DISCUSSION: Establishing the etiology, using the evidence-based strategies to improve hirsutism, and treating the underlying disorder, are essential for proper management of women with hirsutism.

Keywords: Hirsutism; Lasers; NC-CAH; PCOS

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