Hirsutism & Hypertrichosis

Dr. Muhammad K. Al-Bakaa

Department of Dermatology/Faculty of Medicine
Jabir Ibn Hayyan Medical University
2022- 2023
Hirsutism
Pathophysiology of Hirsutism
The score is based upon the sum of the values for each of the nine body areas
illustrated; a score of 9–14 represents functional hirsutism whereas a score >15 is
considered organic hirsutism
Clinical Features
Investigations
Treatment
A- Cosmetic: to remove the present terminal hair
1. Shaving.
2. Hair epilation by thread, sugar water or waxing.
3. Chemical depilation using calcium hydroxide or thioglycolate to destroy
the hair above the hair surface.
4. Hydrogen peroxide bleaching

all the above methods have temporary effect.

5. Laser Hair Epilation
Q: which laser is better diode or alexandrite (Candela) for hair
removal, and why ?
6. Vaniqa: Eflornithine hcl topical cream reduce hair growth by
preventing the effect of certain enzyme needed for hair growth
Systemic antiandrogen therapy: these should be given for long periods and show
their effects slowly and may be associated with serious side effects especially in
unmarried female. they are usually used in combination with topical treatment.
1. Cyproterone acetate (cpa).
2. Spironolactone
3. Cimetidine
4. Corticosteroid
5. Oral contraceptives
6. Ketoconazole
7. 5- α-reductase type 2 blockers like finastride.
8. Flutamide
Hypertrichosis
Hypertrichosis is excessive hair growth that is coarser,
longer, or more profuse for the patient age, race and sex
also in areas that are not androgen-sensitive.

causes:

1. localized hypertrichosis

2. generalized hypertrichosis
Localized Hypertrichosis
Localized Hypertrichosis
Generalized Hypertrichosis
Generalized Hypertrichosis
HAIR COLOR CHANGES
Poliosis
Flag sign
For any question, please sent it for the following email:

muhammad.k.albakaa@jmu.edu.iq