多囊卵巢综合征患者皮肤表现的详细评价

Asiyeh Masaeli, H. Nayeri, M. Mirzaei
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摘要

背景与目的:多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。下丘脑-垂体-卵巢轴在多囊卵巢综合征中失调,最终导致雄激素过多。因此,它与多毛症、血脂异常、肥胖、不育、月经紊乱和胰岛素抵抗有关。据我们所知,没有详细的调查这些表现。这就是为什么本研究旨在评估雄激素分泌过多的表现,特别是多毛症。方法:本研究对39例初步诊断为多囊卵巢综合征的妇女进行了研究。鹿特丹标准包括少排卵或无排卵、雄激素过多的临床和/或生化征象,以及多囊卵巢超声表现作为诊断标准。根据Freeman-Gallwey对多毛症的定义进行多毛症评分。分析患者的其他皮肤问题,包括男性型秃顶、黑棘皮病、痤疮以及人口统计学特征。结果:在我们的大多数患者(91%)中观察到多毛症,从轻度到重度不等。从多毛在身体各部位的分布情况来看,严重多毛的部位分别是腹股沟、腹部和下巴。男性型秃顶,黑棘皮病,痤疮和月经失调的报道在这些患者。结论:本研究发现多囊卵巢综合征患者的皮肤表现,尤其是多毛症是非常常见的。*通讯作者:Hashem Nayeri;电子邮件:hnaieri@gmail.com;nayeri@iaufala.ac.ir请引用本文:Masaeli A, Nayeri H, Mirzaei M. A多囊卵巢综合征患者的详细皮肤表现评估。中华医学杂志,2011;7:1-6 (e10)。https://doi.org/10.22037/amls.v7.30828
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Detailed Cutaneous Manifestations Evaluation in Patients with Polycystic Ovary Syndrome
Background and Aim: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. The hypothalamus-pituitary-ovary axis dysregulates in PCOS, ultimately leading to hyperandrogenisms. Consequently, it is associated with hirsutism, dyslipidemia, obesity, infertility, menstrual disturbance, and insulin resistance. To our knowledge, there is no detailed investigation of these manifestations. That is why, this study aimed to evaluate manifestations of hyperandrogenism, hirsutism in particular. Methods: This study was performed on 39 women with an initial diagnosis of polycystic ovary syndrome. Rotterdam criteria including Oligo- or anovulation, hyperandrogenism clinical and/or biochemical signs, and ultrasound appearance of polycystic ovaries used as diagnostic criteria. Hirsutism scoring was carried out according to Freeman-Gallwey’s definition of hirsutism. The patients were analyzed for other skin problems including male pattern baldness, acanthosis nigricans, and acne as well as demographic features. Results: Hirsutism was observed in the majority of our patients (91%) ranging from mild to severe. Concerning the distribution of hirsutism on various parts of the body, severe hirsutism was observed more on the groin, abdominal area, and chin respectively. Male pattern baldness, acanthosis nigricans, and acne, and dysregulated menstruation were reported in these patients. Conclusion: This investigation found that skin manifestations, especially hirsutism, are highly frequent in patients with PCOS. *Corresponding Author: Hashem Nayeri; Email: hnaieri@gmail.com; nayeri@iaufala.ac.ir Please cite this article as: Masaeli A, Nayeri H, Mirzaei M. A Detailed Cutaneous Manifestations Evaluation in Patients with Polycystic Ovary Syndrome. Arch Med Lab Sci. 2021;7:1-6 (e10). https://doi.org/10.22037/amls.v7.30828
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