A 33-year old female presented to the dermatology clinic with a complaint of hair loss. She reported that the hair on her head was thinning from one year, but the loss was rapid from the past six months. She used minoxidil 5% foam for three months, with minimal improvement.
Medical history- 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 striae on the abdomen and axillae Facial hirsutism and patches of hypertrichosis on back Lab tests- Serum prolactin - Normal FSH (Follicle-stimulating hormone) - Normal LH (Luteinizing hormone) - Within normal limits TSH…
