A 33-year old female presented to dermatology clinic with a complaint of hair loss. She reported that the hair on her head was thinning from 1 year, but the loss was rapid since 6 months. She used minoxidil 5% foam for 3 months, with minimal improvement.
Medical history P=He previously suffered from pituitary microadenoma for a decade, but recent MRI shows that the adenoma is stable. Physical examination No acute distress Facial plethora Prominent facial, truncal and nuchal adiposity Diffuse non-scarring alopecia on the frontal scalp and vertex of the scalp Erythematous inflammatory papules and pustules on her face and mid to lower back Violaceous stria on the abdomen and axillae Facial hirsutism and patches of hypertrichosis on back Lab tests Serum prolactin: Normal FSH (Follicle stimulating hormone): Mormal LH (Leutinising hormone) in normal limits TSH (thyroid stimulating hormone) in…
