Which individual should receive further examination to determine the cause of the change in hair distribution?
a. 60-year-old male, who has lost all of the hair on his scalp over the past 15 years.
b. 26-year-old female, who has experienced an increase of facial hair in the past year.
c. 55-year-old male, who has developed coarse dark hairs in his ears and nose.
d. 11-year-old girl, who has recently developed several dark hairs in her axillae and pubic area.
B
Hirsutism is manifested by excessive facial and/or body hair. It is indicative of endocrine disorders such as hypersecretion of adrenocortical androgens and polycystic ovary syndrome. Therefore, the 26-year-old female who has experienced an increase of facial hair in the past year should most definitely receive further examination to determine the cause. Total scalp baldness or alopecia can be caused by heredity, stress, emotional crisis, or autoimmune diseases. Thus, alopecia in a 60-year-old male may not be pathological. Increased coarse nose and ear hair occurs with aging in males. Hair developing in the axillae and pubic area is a normal occurrence of puberty.
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