Alopecia: An Extensive Narrative Review of Types, Causes, and Management Strategies

    J. Luna
    Image of study
    TLDR Effective hair loss treatment requires personalized approaches and patient-provider collaboration.
    Hair loss disorders, including cicatricial and nonscarring alopecia, require a detailed patient interview, physical examination, and trichoscopy for accurate diagnosis. Initial treatments for androgenetic alopecia often involve topical minoxidil and oral finasteride/dutasteride, while corticosteroids and platelet-rich plasma are used for inflammatory alopecia. Treatment outcomes vary, necessitating personalized approaches. Ongoing research and clinical trials are promising for more targeted therapies, and patient-provider collaboration is crucial for determining suitable treatment strategies.
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      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.

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