Hirsutism and hypertrichosis
Introduction to Hirsutism and Hypertrichosis
Welcome to the Hirsutism and Hypertrichosis subsection of the Dermatology for the MSRA course.
This section is designed to provide comprehensive and structured learning materials to help you understand and master the topic of Hirsutism and Hypertrichosis for the MSRA.
Resources for Hirsutism and Hypertrichosis:
- Hirsutism and Hypertrichosis Revision Notes for MSRA: Detailed and concise notes covering causes, symptoms, diagnosis, and treatment based on UK NICE guidelines. Use these notes to get a thorough understanding of the condition.
- Hirsutism and Hypertrichosis Flashcards for MSRA: Interactive flashcards to help you retain key facts and concepts related to hirsutism and hypertrichosis. Perfect for quick revision sessions and reinforcing knowledge.
- Hirsutism and Hypertrichosis Accordion Q&A Notes for the MSRA: A question-and-answer style resource designed to enhance active learning and test your understanding. Ideal for quick coverage of weak areas.
- Hirsutism and Hypertrichosis Rapid Fire Quiz for MSRA: A fast-paced quiz to evaluate your recall and understanding of hirsutism and hypertrichosis. Use it to assess your progress and readiness for more advanced material.
We encourage you to use these resources as part of your revision plan, and explore related topics within the Dermatology for the MSRA course.
Key Points about Hirsutism and Hypertrichosis:
- Definition:
- Hirsutism is the excessive growth of terminal hair in women in a male-pattern distribution (e.g., face, chest, and back), often associated with underlying hormonal imbalances.
- Hypertrichosis refers to excessive hair growth that is not related to androgen levels and can occur in both men and women, affecting areas not typically hairy.
- Causes:
- Hirsutism: Polycystic ovary syndrome (PCOS), adrenal gland disorders (e.g., Cushing’s syndrome, congenital adrenal hyperplasia), and medications (e.g., anabolic steroids, corticosteroids).
- Hypertrichosis: Genetic disorders, medications (e.g., minoxidil), and certain medical conditions.
- Symptoms:
- Hirsutism: Coarse, dark hair in areas typically seen in male-pattern hair growth (e.g., upper lip, chin, chest).
- Hypertrichosis: Excessive hair growth in unusual areas not typically hairy for the individual (e.g., forearms, face, or back).
- Diagnosis:
- Clinical examination of hair growth patterns.
- Blood tests to assess hormone levels (e.g., testosterone, DHEAS, and cortisol) for suspected hirsutism.
- Imaging or additional tests if an underlying endocrine disorder is suspected (e.g., PCOS).
- Management:
- Hirsutism: Lifestyle changes (e.g., weight loss in PCOS), oral contraceptives, anti-androgens (e.g., spironolactone), and cosmetic treatments (e.g., laser hair removal).
- Hypertrichosis: Discontinuation of the causative medication if applicable, cosmetic hair removal, and management of any underlying genetic or medical conditions.
- Complications:
- Psychological impact, including reduced self-esteem and anxiety.
- Underlying conditions such as PCOS or adrenal disorders that may require long-term management.
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