Name
VIRILIZATION
DESCRIPTION
DETAIL
CAUSES : 1. OVARIAN CAUSES : - THECOMA - FIBROTHECOMA - GRANULOSA & GRANULOSA-THECA CELL TUMORS - ARRHENOBLASTOMA ( SERTOLI-LEYDIG CELL TUMORS ) - HILUS CELL TUMORS - ADRENAL REST TUMORS OF THE OVARY - LUTEOMA OF PREGNANCY 2. ADRENAL CAUSES : - CONGENITAL ADRENAL HYPERPLASIA - ADENOMA - CARCINOMA* SERUM DEHYDROEPIANDROSTERONE ( DHEA ) LEVELS - HIGH WITH OR WITHOUT HIGH TESTOSTERONE LEVELS - ADRENAL TUMOR * SERUM TESTOSTERONE LEVELS - MARKEDLY HIGH LEVELS( > 200 ) WITH NORMAL VALUES FOR OTHER TESTS - OVARIAN TUMOR * 17-HYDROXYPROGESTERONE LEVELS - HIGH WITH MODEST ELEVATION OF DHEA & TESTOSTERONE - CONGENITAL ADRENAL HYPERPLASIA * CT SCAN FOR ADRENALS & OVARIES * TVS ULTRA SOUND FOR OVARIES * IODOCHOLESTROL SCANNING OF ADRENALS FOR LOCALIZATION * VENOUS SAMPLING OF OVARIES OR ADRENALS FOR LOCALIZATION
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
17-HYDROXYPROGESTERONE ( FEMALE ) FOLLICULAR PHASE, SERUM TESTOSTERONE ( TOTAL ) FOR MALE, LH ( FEMALE - FOLLICULAR PHASE ), FSH ( FEMALE - FOLLICULAR PHASE )