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Review Article| Volume 19, ISSUE 2, P155-160, March 2001

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Rational investigations in the diagnosis and management of women with hirsutism or androgenetic alopecia

  • Julian H Barth
    Correspondence
    Address correspondence to Julian H. Barth, Department of Clinical Biochemistry & Immunology, Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Leeds LS1 3EX, England, UK
    Affiliations
    Leeds Teaching Hospitals NHS Trust, Leeds, England, United Kingdom
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      The diagnosis of excess body hair or scalp loss is based purely on the patient’s history and clinical examination. The purpose of investigation is to obtain further information necessary for management of the patient and not to confirm the diagnosis of hirsuties or androgenic alopecia. Treatment decisions should be made on the severity of hair growth for which several scoring systems have been described.
      • Barth J.H.
      • Rushton D.H.
      Measurement of hair growth.
      The underlying cause is likely to be polycystic ovaries (PCO) in the vast majority of hirsute women, and investigation should be used to identify the few women with other causes, as treatment is aimed at altering hair growth and not at modifying minor abnormalities in circulating hormone concentrations.
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