Congenital Adrenal Hyperplasia With Polycystic Ovarian Disease: A Rare Cause of Hirsutism

The document discussed a case of a 22-year-old unmarried female who exhibited hirsutism, characterized by male-like hair distribution in women. Upon detailed evaluation, she was diagnosed with non-classical congenital adrenal hyperplasia (21-hydroxylase deficiency) and polycystic ovarian disease, which are rare causes of hirsutism compared to more common causes like polycystic ovary syndrome. The case highlighted the importance of diagnostic evaluations to identify the underlying etiology and associated co-morbidities for effective management. Treatment, including laser hair removal and addressing the underlying conditions, successfully reversed her symptoms.