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Idiopathic Unilateral Facial Hirsutism: Title and subTitle BreakReport of a Case

Robert J. Thomsen, MD; Stephen B. Webster, MD
[+] Author Affiliations

Reprint requests to the Department of Dermatology, University Hospitals, Iowa City, IA 52242 (Dr Thomsen).


From the Department of Dermatology, Gundersen Clinic Ltd, La Crosse, Wis. Dr Thomsen is now with the Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City.


Arch Dermatol. 1979;115(1):99-100. doi:10.1001/archderm.1979.04010010067023
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Most of the normal cutaneous processes, including hair growth, show a bilateral symmetry. We report a case of striking asymmetry of facial hair in a nondermatomal pattern.

Report of a Case  A 50-year-old woman of English heritage had a five- or six-year history of asymptomatic hair growth localized to the left side of the face. She denied any topical therapy, trauma, or facial surgery. She is gravida 6, para 6, and had a bilateral salpingo-oophorectomy in 1963. There is no family history of hirsutism.On physical examination she had dense terminal hair growth over the left cheek that extended exactly to the midline above the mouth, but spared the chin (Fig 1 and 2), in portions of the second and third divisions of the trigeminal nerve distribution. The face appeared symmetrical, and the skin on both sides was of normal texture and pigmentation. Vellous hair growth on the right cheek

REFERENCES

Price VH:  Testosterone metabolism in the skin . Arch Dermatol 111:1496-1502, 1975;.
Jenkins JS, Ash S:  The metabolism of testosterone by human skin in disorders of hair growth . J Endocrinol 59:345-351, 1973;.
Thomas JP, Oake RJ:  Androgen metabolism in the skin of hirsute women . J Clin Endocrinol Metab 38:19-22, 1974;.
Ressman AC, Butterworth T:  Localized acquired hypertrichosis . Arch Dermatol 65:458-463, 1952;.
Hyatt HW:  Unusual responses to smallpox vaccinations in two children . Pediatrics 32:288-290, 1963;.
Ellis JP:  Unilateral hirsutism, epithelial naevus, polydactyly, premature fusion of epiphyses of right leg, and myasthenia gravis . Br J Dermatol 84:385-386, 1971;.
Humphry GM:  Unilateral hypertrophy of the gums associated with other abnormalities, chiefly hypertrophic and unilateral . Ann Surg 3:1-8, 1886;.

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Price VH:  Testosterone metabolism in the skin . Arch Dermatol 111:1496-1502, 1975;.
Jenkins JS, Ash S:  The metabolism of testosterone by human skin in disorders of hair growth . J Endocrinol 59:345-351, 1973;.
Thomas JP, Oake RJ:  Androgen metabolism in the skin of hirsute women . J Clin Endocrinol Metab 38:19-22, 1974;.
Ressman AC, Butterworth T:  Localized acquired hypertrichosis . Arch Dermatol 65:458-463, 1952;.
Hyatt HW:  Unusual responses to smallpox vaccinations in two children . Pediatrics 32:288-290, 1963;.
Ellis JP:  Unilateral hirsutism, epithelial naevus, polydactyly, premature fusion of epiphyses of right leg, and myasthenia gravis . Br J Dermatol 84:385-386, 1971;.
Humphry GM:  Unilateral hypertrophy of the gums associated with other abnormalities, chiefly hypertrophic and unilateral . Ann Surg 3:1-8, 1886;.

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