PART 2: Cardinal Manifestations and Presentation of Diseases
SECTION 8 Alterations in Sexual Function and Reproduction
49 Hirsutism and Virilization
![]() | Figure 49-1 Hirsutism scoring scale of Ferriman and Gallwey. The nine body areas that have androgen-sensitive areas are graded from 0 (no terminal hair) to 4 (frankly virile) to obtain a total score. A normal hirsutism score is <8. [Modified from DA Ehrmann et al: Hyperandrogenism, hirsutism, and... |
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![]() | Figure 49-2 Algorithm for the evaluation and differential diagnosis of hirsutism. ACTH, adrenocorticotropic hormone; CAH, congenital adrenal hyperplasia; DHEAS, sulfated form of dehydroepiandrosterone; PCOS, polycystic ovarian syndrome. |
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