Abdo Sarah, Samaras Katherine
Endocrinology Department, St Vincents Hospital, Sydney, Australia.
BMJ Case Rep. 2011 Aug 31;2011:bcr0520114177. doi: 10.1136/bcr.05.2011.4177.
Hirsutism is a frequent and distressing presenting symptom in women, often in the setting of menstrual irregularity and acne. While polycystic ovarian syndrome is a common cause, the differential diagnosis of hirsutism is wide ranging and requires a thorough history and appropriate investigations to exclude potentially serious underlying causes. Several serious underlying conditions require active exclusion, otherwise patients are at risk of missed diagnosis and long-term sequelae of the untreated primary disease. The authors present a case of acromegaly where longstanding hirsutism was the presenting symptom.
多毛症是女性常见且令人苦恼的症状，常伴有月经不调和痤疮。虽然多囊卵巢综合征是常见病因，但多毛症的鉴别诊断范围广泛，需要全面的病史和适当的检查以排除潜在的严重病因。几种严重的潜在疾病需要积极排除，否则患者有漏诊风险及原发性疾病未治疗的长期后遗症。作者介绍了一例以长期多毛症为首发症状的肢端肥大症病例。
