HAIR-AN syndrome

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

HAIR-AN syndrome
Acanthosis nigricans
Synonyms	Hyperandrogenism, Insulin Resistance, and Acanthosis Nigricans
Pronounce	N/A
Specialty	N/A
Symptoms	Hirsutism, acanthosis nigricans, insulin resistance, obesity, menstrual irregularities
Complications	Type 2 diabetes, cardiovascular disease
Onset	Typically during adolescence or early adulthood
Duration	Chronic
Types	N/A
Causes	Insulin resistance, hyperandrogenism
Risks	Obesity, polycystic ovary syndrome (PCOS)
Diagnosis	Clinical evaluation, blood tests for insulin and androgen levels
Differential diagnosis	Polycystic ovary syndrome, Cushing's syndrome, congenital adrenal hyperplasia
Prevention	N/A
Treatment	Lifestyle modification, metformin, oral contraceptives, anti-androgens
Medication	N/A
Prognosis	Variable, depends on management of symptoms and complications
Frequency	Rare
Deaths	N/A

HAIR-AN syndrome is a medical condition characterized by a combination of hyperandrogenism, insulin resistance, and acanthosis nigricans. It is considered a subset of polycystic ovary syndrome (PCOS) and is often associated with metabolic syndrome.

Signs and Symptoms

The primary features of HAIR-AN syndrome include:

• Hyperandrogenism: Elevated levels of androgens leading to symptoms such as hirsutism, acne, and alopecia.
• Insulin resistance: A condition where the body's cells become less responsive to the hormone insulin, often leading to hyperinsulinemia and an increased risk of type 2 diabetes.
• Acanthosis nigricans: A skin condition characterized by dark, velvety patches in body folds and creases, commonly found in the neck, armpits, and groin.

Pathophysiology

The exact cause of HAIR-AN syndrome is not fully understood, but it is believed to involve a combination of genetic and environmental factors. The condition is often associated with obesity, which can exacerbate insulin resistance and hyperandrogenism.

Diagnosis

Diagnosis of HAIR-AN syndrome typically involves a combination of clinical evaluation, laboratory tests, and imaging studies. Key diagnostic criteria include:

• Elevated levels of androgens in the blood.
• Evidence of insulin resistance, such as elevated fasting insulin levels or abnormal glucose tolerance tests.
• Presence of acanthosis nigricans.

Treatment

Treatment of HAIR-AN syndrome focuses on managing the symptoms and underlying conditions. Common approaches include:

• Lifestyle modifications: Weight loss through diet and exercise can improve insulin sensitivity and reduce androgen levels.
• Medications: Insulin-sensitizing agents such as metformin and anti-androgens like spironolactone may be prescribed.
• Cosmetic treatments: Options such as laser hair removal and topical treatments for acne and acanthosis nigricans.

Prognosis

With appropriate management, many individuals with HAIR-AN syndrome can achieve significant improvement in symptoms. However, the condition requires ongoing monitoring and treatment to prevent complications such as type 2 diabetes and cardiovascular disease.

See also

• Polycystic ovary syndrome
• Hyperandrogenism
• Insulin resistance
• Acanthosis nigricans
• Metabolic syndrome
• Type 2 diabetes

This endocrine system related article is a stub.