Case Presentation A 21-year-old woman presented with progressive hirsutism since the age of 16, involving the upper lip, chin, chest, abdomen, back, arms, and thighs. She reported no menstrual irregularities, weight changes, deepening of voice, or clitoromegaly. Her menstrual cycles were regular, and she had a successful prior pregnancy.
She had no significant past medical or family history and denied smoking, alcohol consumption, or recreational drug use. Physical Examination Well-appearing young woman, alert and oriented Coarse, terminal hair noted on upper lip, chin, chest, abdomen, back, arms, thighs, and buttocks (Figure 1) Normal vital signs and body mass index No signs of acne, alopecia, or obesity Figure 1: Hirsutism involving the (A) back, (B) abdomen, and (C, D) extremities (coarse hair follicles after shaving) Laboratory Findings Hormonal Evaluation: 17-hydroxyprogesterone…
