title: Hyperandrogenemia associated with insulin resistance mimicking an androgen producing tumor.
abstract: The finding of a serum testosterone level greater than 200 ng/dl in a woman with virilization raises concerns about an androgen producing tumor. This case report demonstrates that chronic annovulation in association with insulin resistance can cause significant elevations in the level of serum testosterone, and describes the therapeutic benefit of insulin sensitizing agents in reversing hyperandrogenemia.
authors.affiliation: Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, USA.
authors.forename: Erika
authors.initials: E
authors.lastname: Nichelson
authors.forename: Roger C
authors.initials: RC
authors.lastname: Toffle
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007333:Insulin Resistance; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D014770:Virilism / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
chemical_list: D007004:Hypoglycemic Agents