15th April 2024

A 47-year-old female with a previous kidney transplant presents to the renal clinic.

A 47-year-old female with a previous kidney transplant presents to the renal clinic. Over the last two months, she noticed thickened hair developing on her back, arms and face. Her past medical history includes hypothyroidism, previous breast cancer and systemic lupus erythematosus with previous complications of lupus nephritis. She regularly takes levothyroxine, tamoxifen, ciclosporin and vitamin supplementation tablets. Which of the following is the most likely cause of her thickened hair?

Select the SINGLE most appropriate option from the list below. Select ONE option only.