Hirsutismo: manifestaciones clínicas y estudios hormonales.
Hirsutism is a hormonal disorder characterized by excessive body hair growth in women. This growth typically occurs in the chin, neck, chest, lower and upper navel areas, buttocks, joints, abdomen, sideburns, upper lip, back, lower face, and anterior thighs. The condition is often due to elevated an...
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| Natura: | bachelorThesis |
| Lingua: | spa |
| Pubblicazione: |
2024
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| Accesso online: | http://dspace.unach.edu.ec/handle/51000/14245 |
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| Riassunto: | Hirsutism is a hormonal disorder characterized by excessive body hair growth in women. This growth typically occurs in the chin, neck, chest, lower and upper navel areas, buttocks, joints, abdomen, sideburns, upper lip, back, lower face, and anterior thighs. The condition is often due to elevated androgen levels and may be influenced by certain medications. This research was conducted through a literature review to evaluate the clinical manifestations and hormonal studies relevant to its diagnosis. The study was qualitative and descriptive, employing a non-experimental documentary approach with a cross-sectional, retrospective design. Seventy-five scientific articles were reviewed, and 23 were selected based on specified inclusion and exclusion criteria. The data were sourced from various reliable databases, including Scielo, PubMed, Lilacs, Elsevier, and Google Scholar. A non-probabilistic sampling method was applied. The analysis of the results and discussions among various authors fulfilled the study’s objectives. The findings indicated that hyperandrogenism was the most prevalent clinical manifestation, observed in 40% of cases. Conditions such as polycystic ovary syndrome were noted to alter hormone levels, with reported values including testosterone at 1.09±1.10 ng/dL, LH at 6.1±4.6 mIU/mL, and FSH at 15.5±14.8 mIU/mL. The sensitivity of these hormonal changes ranged from 80-95%, while specificity varied from 60-80%. In conclusion, hyperandrogenism is the primary clinical manifestation of hirsutism in women with polycystic ovary syndrome. Hormonal studies revealed alterations in levels of 17 OH Progesterone, SHBG, DHEAS, and estradiol, with sensitivities of 80-90%. Testosterone, androstenedione, LH, and FSH also exhibited specificities ranging from 50-80%. This underscores the importance of conducting hormonal studies to rule out underlying pathologies. |
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