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Hirsutism. Hirsutism is a common disorder, which affects up to 10% of women between the age of 18 and 45 years. defined as the presence of excessive terminal hair in androgen-dependent areas of a woman´s body

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hirsutism
Hirsutism
  • Hirsutism is a common disorder, which affects up to 10% of women between the age of 18 and 45 years.
  • defined as the presence of excessive terminal hair in androgen-dependent areas of a woman´s body
  • differentiated from hypertrichosis, which is usually familial in nature and associated with an endocrine dysfunction  - such as thyroid dysfunction - or with medications such as phenytoin or minoxidil.
  • Hypertrichosis is excessive growth of thin vellus (nonpigmented) hair at any body site, and is not androgen dependent.
hirsutism1
Hirsutism
  • Caused by increased androgen action on hair follicles, excessive production of androgen.
    • May be a result of increased levels of circulating androgens or increased sensitivity of hair follicles to normal serum levels of androgens.
    • develop thick, pigmented hair (terminal hair) as opposed to nonpigmented and thin hair (vellus hair) which is normally seen in these areas.
    • often a source of psychological discomfort
skin tags
Skin Tags
  • A skin tag is a common, acquired benign skin growth that looks like a small piece of hanging skin. Skin tags are often described as bits of skin- or flesh-colored tissue that projects from the surrounding skin from a small, narrow stalk. (may vary in appearance)
  • Common areas; neck, underarms, eyelids, and under the breasts (especially where underwire bras rub directly beneath the breasts) and groin folds.
  • Although tags are generally acquired (not present at birth) and may occur in anyone, more often they arise in adulthood.
  • Much more common in middle age and they tend to increase in prevalence up to age 60, but they can occur in children around the neck and underarms.
  • Since they are thought to arise more readily in areas of skin friction or rubbing, tags are also more common in overweight people.
skin tags1
Skin Tags
  • Hormone elevations, like those seen during pregnancy, may increase the formation of skin tags, skin tags are more frequent in pregnant women.
  • benign condition not directly associated w/ any major medical conditions
  • Removal; scissors, freezing (liquid nitrogen), and burning (medical electric cautery at physician's office).
  • small tags may be removed easily w/out anesthesia, larger growths may require local anesthesia (injected lidocaine)
  • topical anesthesia cream prior to the procedure may be desirable in areas with a large number of tags.
  • Dermatologists, family physicians, and internal medicine physicians can treat, occasionally an ophthalmologist is needed to remove tags very close to the eyelid margin.