23 Hair And Nail Disorders

    November 2025
    TLDR Hair and nail disorders can harm self-esteem, but early treatment helps.
    Hair and nail disorders significantly affect individuals' well-being and self-confidence, with common hair disorders including alopecia areata, androgenetic alopecia, telogen effluvium, and cicatricial alopecia, often caused by genetic, hormonal, autoimmune, or external factors. Treatments typically involve topical and oral medications or hair transplantation. Common nail conditions include onychomycosis, psoriasis, lichen planus, and bacterial infections, which alter nail color, texture, and structure. Early diagnosis and management are crucial in reducing the impact of these disorders.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 3 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Hairline stable but diffuse thinning with topical fin+min

      in Finasteride  237 upvotes 4 days ago
      The user experienced stable hairline but diffuse thinning after switching from oral finasteride to a topical solution of minoxidil and finasteride. They are concerned about the effectiveness of the topical treatment and are considering other options due to a recent decline in hair density.

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