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PART 2: Cardinal Manifestations and Presentation of Diseases
SECTION 8   Alterations in Sexual Function and Reproduction

49 Hirsutism and Virilization
David A. Ehrmann

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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