A 24-year-old woman with central obesity and acanthosis nigricans presents with irregular menses, infertility, acne, and progressive hirsutism. Vital signs: BP 138/88 mmHg, HR 82/min, RR 16/min, temp 37°C. Laboratory studies show fasting glucose 118 mg/dL and elevated free testosterone. Pelvic ultrasound demonstrates bilateral ovarian enlargement with multiple peripheral cysts. She denies galactorrhea. Which of the following is the most likely diagnosis?
- A)Turner syndrome
- B)Androgen insensitivity syndrome
- C)Primary ovarian insufficiency
- D)Polycystic ovary syndromeGABARITO
- E)Kallmann syndrome
Explicação
Polycystic ovary syndrome is characterized by hyperandrogenism, chronic anovulation, and insulin resistance. Patients commonly have oligomenorrhea, hirsutism, acne, infertility, obesity, and acanthosis nigricans. The ovaries often contain numerous cystic folli... Ver explicação completa e trilha adaptativa →