<\/span><\/h2>\nEl hirsutismo es un patr\u00f3n masculino de secundaria o post-pubertad. hair<\/span> crecimiento que ocurre en mujeres. Surge en las \u00e1reas de bigote y barba en la pubertad cuando el cabello tambi\u00e9n aparece en mujeres no hirsutas en las axilas y las zonas p\u00fabicas. Las mujeres hirsutas tambi\u00e9n pueden desarrollar un cabello m\u00e1s grueso y m\u00e1s largo de lo normal en sus extremidades y tronco.<\/p>\nHirsutism is also known as hirsute.<\/p>\n\n<\/span>Hirsutism<\/span><\/h5>\n<\/section>\n\n\n
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<\/span>Who Gets Hirsutism?<\/span><\/h2>\nWomen who are considered hirsute vary depending on culture<\/span> and ethnicity, as the normal range of secondary hair growth varies with race. It should also be noted that women spend a great deal of time and energy removing unwanted hair, resulting in an abnormally hair-free norm in today's society.<\/p>\n\n- Un patr\u00f3n hirsuto de crecimiento del cabello generalmente est\u00e1 determinado gen\u00e9ticamente, confirmado por los miembros masculinos y femeninos de la familia que tambi\u00e9n tienen m\u00e1s cabello que el promedio.<\/li>\n
- El hirsutismo de inicio tard\u00edo puede deberse a hiperandrogenismo, es decir, un aumento en la circulaci\u00f3n androgens<\/span> even testosterone<\/span>.<\/li>\n<\/ul>\n
Hyperandrogenism is often associated with polycystic ovaries, insulin<\/span> resistance and obesity. Rare causes include:<\/p>\n\n- Androgenic drugs<\/li>\n
- Cushing syndrome<\/span><\/li>\n
- \nCongenital<\/span> adrenal hyperplasia<\/span>\n<\/li>\n
- \nTumor<\/span> de gl\u00e1ndula suprarrenal u ovario<\/li>\n<\/ul>\n
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<\/span>What Causes Hirsutism?<\/span><\/h2>\nDifferent genes<\/span> expressed in individual hair follicles<\/span> vary in their response to androgens.<\/p>\n\n- Hair follicles at secondary hair growth sites are more sensitive to androgens than those in other areas.<\/li>\n
- Androgens alter the mesenchymeepithelial<\/span> cellular interactions, changing the duration of hair growth, dermal<\/span> papilla<\/span> size and cell of the dermal papilla, keratinocytes<\/span> and melanocyte<\/span> exercise.<\/li>\n
- Los peque\u00f1os fol\u00edculos vellosos que producen pelos peque\u00f1os, pr\u00e1cticamente invisibles, se convierten en fol\u00edculos intermedios y terminales m\u00e1s grandes que se hacen m\u00e1s grandes pigmented<\/span> hairs<\/li>\n<\/ul>\n
<\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas del hirsutismo?<\/span><\/h2>\nEl hirsutismo generalmente se observa por primera vez en los \u00faltimos a\u00f1os de la adolescencia y tiende a empeorar gradualmente a medida que la mujer envejece.<\/p>\n
El hirsutismo puede involucrar un solo sitio o m\u00faltiples sitios.<\/p>\n
\n- Facial hair: mustache, beard, eyebrows<\/li>\n
- Abdomen: la forma de diamante del vello p\u00fabico que se extiende hasta el belly button<\/span>\n<\/li>\n
- Chest: around the nipples or a more extensive growth<\/li>\n
- Upper back<\/li>\n
- Inner thighs<\/li>\n<\/ul>\n
La gravedad del hirsutismo se eval\u00faa mediante el visual de Ferriman-Gallwey. scale<\/span> o una versi\u00f3n modificada, que eval\u00faa 9 \u00e1reas del cuerpo. El puntaje var\u00eda de 0 (sin cabello) a 4 (crecimiento extenso de cabello) en cada \u00e1rea.<\/p>\n\n- Total score <8: crecimiento normal del cabello<\/li>\n
- Total score 8\u201314: mild hirsute<\/li>\n
- Total score \u2265 15: moderate to severe hirsute<\/li>\n<\/ul>\n\n
<\/span>Escala visual de Ferriman-Gallwey para evaluar el hirsutismo. Archivo de acceso abierto.<\/span><\/h5>\n<\/section>\n\n\n
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Ferriman-Gallwey visual scale to assess hirsutism<\/p>\n<\/p><\/div>\n<\/section>\n
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<\/span>General examination<\/span><\/h3>\nA general exam can reveal clues to the cause of hirsutism.<\/p>\n
\n- \nAcanthosis<\/span> nigricans suggests insulin resistance.<\/li>\n
- Galactorrhea suggests hyperprolactinemia.<\/li>\n
- Purple stretch marks, thin skin, bruises, and facial plethora suggest Cushing's syndrome.<\/li>\n
- \nVirilization<\/span> suggests hyperandrogenism. The signs include:<\/p>\n