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The prevalence of endocrinopathies among Lebanese women presenting with hirsutism to an endocrine clinic.
[cushing syndrome]
Hirsutism
is
a
common
condition
in
women
characterized
by
excessive
growth
of
terminal
hair
in
a
male
pattern
distribution
.
It
may
be
a
manifestation
of
underlying
pathologies
.
Since
there
is
no
data
published
about
the
prevalence
of
endocrinopathies
among
hirsute
women
in
Lebanon
,
this
study
's
aim
was
to
reveal
the
most
common
etiologies
of
hirsutism
in
this
population
.
The
study
is
a
descriptive
review
of
cases
of
160
females
with
hirsutism
presenting
to
a
single
endocrinologist
clinic
.
Data
about
history
,
physical
exam
,
blood
tests
and
imaging
results
were
collected
after
review
of
medical
charts
.
Out
of
the
160
cases
reviewed
,
14
females
(
8
.
8
%
)
were
left
undiagnosed
.
Out
of
146
subjects
diagnosed
,
72
.
6
%
were
found
to
have
polycystic
ovary
syndrome
(
PCOS
)
,
18
.
5
%
idiopathic
hirsutism
(
IH
)
,
4
.
6
%
non-classic
congenital
adrenal
hyperplasia
,
2
.
6
%
hyperprolactinemia
,
0
.
6
%
Cushing
's
syndrome
and
0
.
6
%
hypothyroidism
.
A
higher
percentage
of
irregular
menses
and
a
trend
for
overweight
were
found
among
the
PCOS
group
.
PCOS
remains
the
most
common
cause
of
hirsutism
in
an
endocrine
referral
clinic
,
similar
to
other
populations
.
A
low
threshold
for
diagnostic
workup
is
in
order
,
especially
when
there
is
associated
menstrual
irregularity
or
overweight
.
Diseases
Validation
Diseases presenting
"common cause"
symptom
achondroplasia
acute rheumatic fever
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
coats disease
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pendred syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
zellweger syndrome
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