:
Hirustism
•
Hair follicle covers the entire body and
different types of hair are found in
different sites there is
↑
in hair growth rate
&thickness of terminal hairs. Excessive
hair growth may occur in arms
,
legs
,
back
,
breasts and abdomen may be associated
with acne
.
Causes:
1.
Androgen causes
.
2.
Congenital adrenal hyper plasia classic &late
onset
.
3.
Pcos
.
4.
Idiopathic
.
5.
Drugs using
.
6.
Familial
(
constitutional
)
.
Treatment
1.
Oral contraception pills the main
form of treatment for
6-9 months
.
2.
Cyproterone acetate
(50-100) mg
anti androgen
.
3.
Spironolactone may be considered
.
4.
Combination of Cyproterone acetate for first
10
days
of cycle &estrogen for the first
21 days
.
5.
Alternative dianete contain ethinyloestrediol
with Cyproterone acetate at lower dose
2mg
.
6.
Physical treatment
(cosmetic)
like electrolysis
,
laser therapy
,
waxing and bleaching or shaving
.
•
Other treatment by antiandrogenic drugs like
finastride
(5 alfa reductase inhibitor )
Flutamide (potent anti androgenic drug)