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Doody's Review ServiceReviewer: David A. Ehrmann, MD (University of Chicago Medical Center)
Description: This is first edition of a multiauthored book on androgenic disorders.
Purpose: This book is intended to bridge the gap between basic science and clinical medicine as they relate to disorders of androgen excess in women.
Audience: As such, this book is meant to appeal to practicing physicians in various disciplines including dermatology, gynecology, and endocrinology. The subject matter is divided in a traditional manner: biochemistry and physiology of androgens, clinical disorders (ovarian, adrenal, cutaneous), and therapy.
Features: Several of the chapters are particularly well written and deal with their subject matter comprehensively. These include the chapters on polycystic ovary syndrome and oral contraception. In contrast, several chapters are cursory in their treatment of their subject. For example, the chapter that is billed as a review of the androgen excess of Cushing syndrome is merely a rehashing of the issues related to diagnostic testing and therapy of Cushing syndrome. This is particularly disappointing given that the topic of androgen excess in Cushing syndrome is rarely written about and has significant clinical importance. Likewise, the chapter on acne vulgaris is overly simplistic and is replete with inaccuracies. The text is sufficiently illustrated and the index is thorough.
Assessment: There is clearly a need for a comprehensive textbook that deals with androgen disorders in women. Unfortunately, this book falls short of that goal.