Síndrome do ovário policístico: abordagem dermatológica

Polycystic ovary syndrome (POS) is one of the most common endocrine abnormalities affecting women of reproductive age. It is a cause of significant social embarrassment and emotional distress. The pathogenesis of the disease is not yet fully understood, but it is thought to be a complex multigenic d...

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Detalles Bibliográficos
Autores: Moura, Heloisa Helena Gonçalves De, Costa, Dailana Louvain Marinho, Bagatin, Edileia [UNIFESP], Sodré, Celso Tavares, Manela-azulay, Mônica
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/6300
Acceso en línea:http://dx.doi.org/10.1590/S0365-05962011000100015
http://repositorio.unifesp.br/handle/11600/6300
Access Level:acceso abierto
Palabra clave:Acanthosis nigricans
Acne vulgaris
Alopecia
Hyperandrogenism
Polycystic ovary syndrome
Acantose nigricans
Acne vulgar
Hiperandrogenismo
Síndrome do ovário policístico
Descripción
Sumario:Polycystic ovary syndrome (POS) is one of the most common endocrine abnormalities affecting women of reproductive age. It is a cause of significant social embarrassment and emotional distress. The pathogenesis of the disease is not yet fully understood, but it is thought to be a complex multigenic disorder, including abnormalities in the hypothalamic-pituitary axis, steroidogenesis, and insulin resistance. The main diagnostic findings of the syndrome are: hyperandrogenism, chronic anovulation and polycystic ovarian morphology seen on ultrasound. Hyperandrogenism is generally manifested as hirsutism, acne, seborrhea, androgenic alopecia and, in severe cases, signs of virilization. Treatment may improve the clinical manifestations of excess androgen production, normalize menses and ameliorate metabolic syndrome and cardiovascular complications. This article reviews the diagnosis, clinical manifestations, metabolic complications, and treatment of the syndrome. Early diagnosis and the consequent early treatment may prevent metabolic complications and emotional distress that negatively impact the patients' quality of life.