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Dermatology

Hypertrichosis and Hirsutism

Built from Dermatology, 5th Edition

What’s inside

3 sections · 128 slides

  1. 01

    Overview

    • What this deck covers

    1 slide

  2. 02

    Hypertrichosis

    Definitions, classification, and the many causes of excess hair growth

    • Defining hypertrichosis
    • Three types of hair
    • How hypertrichosis is classified
    • Generalized hypertrichosis
    • Working up generalized hypertrichosis
    • Diagnostic approach to generalized hypertrichosis
    • Congenital generalized hypertrichosis
    • Position effects: genes turned up, not broken
    • Genetic syndromes with congenital generalized hypertrichosis
    • Hereditary disorders with congenital generalized hypertrichosis
    • Hereditary disorders with congenital generalized hypertrichosis (continued)
    • Hereditary disorders with congenital generalized hypertrichosis (continued)
    • Hereditary disorders with congenital generalized hypertrichosis (continued)
    • Intrauterine exposure and other differentials
    • Hereditary diseases and syndromes with regional hypertrichosis
    • Hereditary diseases and syndromes with regional hypertrichosis (continued)
    • Hereditary diseases and syndromes with regional hypertrichosis (continued)
    • Hereditary diseases and syndromes with regional hypertrichosis (continued)
    • Hereditary diseases and syndromes with regional hypertrichosis (continued)
    • Hereditary diseases and syndromes with regional hypertrichosis (continued)
    • Prepubertal hypertrichosis
    • Acquired generalized hypertrichosis: drugs
    • Drugs that cause hypertrichosis
    • Hypertrichosis due to drugs
    • Hypertrichosis due to drugs (continued)
    • Where oral minoxidil causes hair growth
    • Hypertrichosis from oral minoxidil in practice
    • Acquired generalized hypertrichosis: systemic disease
    • Acquired hypertrichosis lanuginosa
    • Acquired hypertrichosis lanuginosa in practice
    • Localized hypertrichosis
    • Hamartomas and site-specific congenital forms
    • Hypertrichosis cubiti
    • Anterior cervical hypertrichosis
    • Hereditary hypertrichosis at specific anatomic sites
    • Hypertrichosis of the eyebrows and eyelashes
    • Hypertrichosis of the eyebrows and eyelashes
    • EGFR inhibitor-induced eyelash trichomegaly
    • Congenital melanocytic nevi and plexiform neurofibromas
    • Becker melanosis (nevus)
    • Becker melanosis with marked hypertrichosis
    • Becker melanosis: a second example
    • Becker nevus syndrome and related findings
    • Smooth muscle hamartomas
    • Other hamartomas with overlying hypertrichosis
    • Nevoid hypertrichosis
    • Nevoid hypertrichosis of the scalp
    • Secondary nevoid hypertrichosis
    • Spinal dysraphism and the hair collar sign
    • Localized hypertrichosis in systemic disease
    • Facial hypertrichosis in porphyria cutanea tarda
    • Porphyria cutanea tarda: a second example
    • Acquired localized hypertrichosis: trauma and friction
    • Hypertrichosis at a site of friction
    • Hairs mimicking hypertrichosis in a pilonidal sinus
    • Topical drugs that trigger localized hypertrichosis
    • Treating eyelash alopecia with topical latanoprost
    • Treating hypertrichosis

    58 slides

  3. 03

    Hirsutism

    Androgen-driven excess hair in women - epidemiology, causes, workup, and treatment

    • Defining hirsutism
    • Idiopathic hirsutism with the SAHA syndrome
    • Virilization: a more severe sign
    • Differences between defeminization and virilization
    • How common is hirsutism
    • Measuring hirsutism: the mFG score
    • The modified Ferriman-Gallwey hirsutism scoring system
    • Modified Ferriman-Gallwey scoring diagram, second copy
    • Causes worth knowing beyond PCOS
    • Where excess androgen can come from
    • Classifying the causes of hirsutism
    • Classification of types of hirsutism
    • Classification of types of hirsutism (continued)
    • Classification of types of hirsutism (continued)
    • Classification of types of hirsutism (continued)
    • Classification of types of hirsutism (continued)
    • Idiopathic (constitutional) hirsutism
    • Familial hirsutism
    • Ovarian hirsutism: an overview
    • Polycystic ovary syndrome (PCOS)
    • The Rotterdam criteria for PCOS
    • Hirsutism pattern in PCOS
    • PCOS and metabolic risk
    • Evaluation and management overview for PCOS
    • Ovarian hyperthecosis
    • Facial hirsutism due to ovarian hyperthecosis
    • Tumoral ovarian hirsutism
    • Adrenal hirsutism: an overview
    • Congenital adrenal hyperplasia (CAH)
    • Adrenal glucocorticoid and androgen synthesis pathway
    • Classic versus non-classic CAH
    • Tumoral adrenal hirsutism
    • Cushing syndrome
    • Acromegaly
    • Hyperprolactinemia and thyroid disorders
    • Insulin-resistance disorders
    • Drug-induced hirsutism
    • Diagnostic workup: first steps
    • Initial screening pathway for premenopausal hirsutism
    • Evaluating hyperandrogenemia in a premenopausal woman
    • Lab testing in premenopausal women
    • Lab testing in postmenopausal women
    • When to start treatment
    • Systemic agents for hirsutism
    • Systemic agents for hirsutism and hyperandrogenism
    • Systemic agents for hirsutism and hyperandrogenism (continued)
    • First-line therapy: combined oral contraceptives
    • Adding an antiandrogen
    • Hirsutism response to antiandrogen therapy
    • Treatment by clinical scenario
    • Hirsutism treatment by clinical scenario
    • Topical therapy for facial hirsutism
    • Direct hair removal: depilation vs epilation
    • Escalating options for unwanted hair
    • Photoepilation: the preferred long-term option
    • Grading hirsutism severity by Abraham's system
    • Abraham's classification of hirsutism
    • A practical menu of hair-removal methods
    • Methods to reduce unwanted hair
    • Hypertrichosis: what to remember
    • Hirsutism: what to remember
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    69 slides