Early Onset of Alopecia Areata After Dupilumab Introduction in a Patient With Atopic Dermatitis

A user in their 20s with androgenetic alopecia is experiencing heavy hair shedding after starting dutasteride and oral minoxidil, with concerns about scalp sensitivity and low vitamin D. They plan to consult a dermatologist for further evaluation, while others in the conversation share similar experiences with shedding after starting dutasteride.

A 27-year-old male with diffuse hair loss, including the donor area, did not respond to finasteride, dutasteride, or minoxidil. He suspects his hair loss may be linked to a mild connective tissue disorder, possibly affecting the structural support of hair follicles, rather than being purely hormonal.

High DHEA levels may contribute to hair loss by increasing DHT in hair follicles, potentially explaining why finasteride is ineffective for some. Treatments like high-dose dutasteride and RU58841 are suggested, but the underlying cause, such as adrenal issues, should be investigated.

The user diagnosed with DUPA tried treatments like dutasteride, finasteride, RU58841, and minoxidil without success and is considering a hair system. They hope for a future cure, possibly with PP405, and others suggest options like scalp biopsy and SMP.

DUPA and retrograde alopecia may not be solely DHT-based, and a biopsy is crucial for accurate diagnosis and treatment. Treatments mentioned include dutasteride, oral minoxidil, pioglitazone, clobetasol, calcipotriol, ketoconazole, and doxycycline, depending on the specific condition.

A 32-year-old experiencing diffuse hair loss despite long-term use of finasteride and oral minoxidil is considering additional treatments like topical dutasteride, RU58841, and Breezula. Concerns about Crohn's disease affecting hair loss and past negative experiences with dutasteride impacting libido are also mentioned.