Hirsutism & Virilization - Differential Diagnosis Algorithm

ADRENAL EXCESS

Ovarian

 • Polycystic Ovarian Syndrome

 • Hyperthecosis

 • Tumor

Adrenal

 • Congenital Adrenal

 • Hyperplasia

 • Cushing's Syndrome Tumor

Low Serum Hormone Binding Globulin

 • Obesity

 • Liver Disease

 • Insulin Resistance Syndrome

Medications

 • Testosterone DHEA

 • Danazol

Idiopathic Hirsutism - Normal Cycles and Androgen Levels

HYPERTRICHOSIS

Medications

 • Phenytoin

 • Cyclosporine

 • Minoxidil Penicillamine

 • Diazoxide

Medical/Other

 • Hypothyroidism

 • Anorexia Nervosa

 • Malnutrition

 • Porphyria

 • Dermatomyositis

 • Paraneoplastic Syndrome

 • Familial

 • Idiopathic



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