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Dermatology

Hypertrichosis and Hirsutism

Built from Dermatology, 5th Edition

The first 25 slides of Hypertrichosis and Hirsutism
The first 25 slides, exactly as they appear. The full deck has 128 content slides.

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