PDF(Pubmed)
Abstract：
Idiopathic hirsutism (IH) is a common clinical condition with multiple diagnostic and therapeutic uncertainties. There are no clear recommendations for the diagnosis and management of the condition. This practice update was developed to guide the primary care physicians and the specialists in better and more systematic management of IH particularly in the Indian context. Twelve experienced members consisting of eminent endocrinologists, physicians, a dermatologist, a gynaecologist and a psychiatrist were invited by the Integrated Diabetes and Endocrine Academy (IDEA). A literature search was performed using online databases from PubMed, Cochrane Library and Google Scholar. Published articles from peer-reviewed indexed journals, with a preference for meta-analyses and randomized controlled trials, were selected. A meeting took place with all the 12 members individually giving their opinions on predetermined questions of interest. After the initial meeting during IDEACON 2023, two more meetings were held and the practice update was formulated after voting. Practice updates were made on important areas such as the cut-off for modified Ferriman-Gallwey Score for the Indian population, conditions to be excluded before diagnosing IH, when to refer to specialists, investigations in a suspected case of IH and choice of therapies for its management.
摘要：
特发性多毛症（IH）是一种常见的临床疾病，具有多种诊断和治疗不确定性。没有明确的诊断和治疗建议。此实践更新旨在指导初级保健医生和专家更好，更系统地管理IH，特别是在印度背景下。十二名经验丰富的成员由杰出的内分泌学家组成，医师,皮肤科医生,糖尿病和内分泌综合学院(IDEA)邀请了一名妇科医生和一名精神科医生.使用PubMed的在线数据库进行了文献检索，科克伦图书馆和谷歌学者。发表来自同行评审索引期刊的文章，偏爱荟萃分析和随机对照试验，被选中。举行了一次会议，所有12名成员分别就预定的感兴趣的问题发表意见。在IDEACON2023的初次会议之后，又举行了两次会议，并在投票后制定了惯例更新。在重要领域进行了实践更新，例如印度人口修改后的Ferriman-Gallwey评分的截止日期，诊断IH前要排除的条件，当提到专家时，对疑似IH病例的调查及其治疗方法的选择。
