
The differential diagnosis of the hyperandrogenic patient includes idiopathic hirsutism, polycystic ovary syndrome (PCOS), the hyperandrogenic insulin-resistant acanthosis nigricans (HAIRAN) syndrome, 21-hydroxylase-deficient non-classic congenital adrenal hyperplasia or classic congenital adrenal hyperplasia, and androgen-secreting neoplasm. Rare causes include side effects from medication, hypothyroidism, hyperprolactinemia, and Cushing’s disease [1, 2].
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