Introducing Sarah: Sarah, a vibrant 7-year-old girl, presented to the pediatric endocrinology clinic with concerns about her rapid growth, clitoral enlargement, and deepening voice. Her parents mentioned noticing these changes over the past year, raising suspicion of early puberty-Androstenedione Initial Investigations: Sarah’s physical examination revealed typical signs of virilization: clitoromegaly, labial fusion, and mild abdominal...
Patient: Michael, a 45-year-old male, presented with a year-long history of declining libido, erectile dysfunction, fatigue, and decreased muscle mass. He reported difficulty concentrating, frequent mood swings, and reduced enjoyment of previously loved activities – Hormonal Riddle Medical History: Michael was generally healthy with no significant past medical conditions or surgeries. He admitted to moderate...
Maria, a 32-year-old woman, consulted her doctor with concerns about irregular menstrual cycles, excessive hair growth on her chin and upper lip, and unexplained weight gain. She had no prior medical history and was not on any medications – Hormonal Tango Initial Evaluation: Physical examination revealed mild hirsutism and signs of hypothyroidism, including dry skin,...
Androstenedione-Patient: Mrs. A, a 42-year-old woman, diagnosed with acromegaly four years ago. Presenting Symptoms: Over the past year, Mrs. A has noticed: Increasingly prominent facial and body hair growth (hirsutism). Oily skin and persistent acne breakouts. Irregular menstrual cycles and decreased libido. Enlargement of hands and feet. Fatigue and headaches. Medical History: No prior...