In children and especially in adolescent girls, excessive hairiness is a common complaint. Excessive pubescence may have a psychological impact on the child and may also be an early indication of the underlying hormonal diseases. For this reason, in a child or young girl with a complaint of excessive hairiness, hormonal evaluation should be done primarily for the cause.
Excessive hair growth can be structural or familial. However, the causes of excessive hair growth may be due to hormonal imbalances caused by the adrenal gland, or serious causes such as ovarian or excessive hormone release from the testes. These hormone excesses may be congenital or may occur later. Subsequent hormone excesses may be caused by structural (metabolic) causes, such as cysts and tumors in the adrenal glands or ovaries. Excessive pubescence sometimes appears in adolescence with obesity and in young girls with a disease called polycystic ovary syndrome.
Medicated hormone stimulation test called ACTH in diagnosis of adrenal diseases helps in diagnosis. It is very important to make these tests in a reliable laboratory and to interpret the child according to the age of the child and interpret it by a child endocrinologist. Furthermore, imaging of the adrenal glands with ultrasound or tomography may be required.
The treatment of excessive hairiness is primarily aimed at removing the underlying hormonal excess. In addition, cosmetic methods such as laser hair removal are also used.