Alopecia: Updated Management

June 2024 in “ Bangladesh Journal of Medicine ”

Mohammad Tariquzzaman Mia

TLDR Effective alopecia treatment depends on the specific cause and includes medications and procedures.

Alopecia, or hair loss, is a common issue that can lead to negative emotions and a lack of confidence. Normal daily hair loss ranges from 100 to 150 hairs. Causes include non-scarring alopecia (such as androgenetic alopecia and alopecia areata), scarring alopecia (like lichen planopilaris and folliculitis decalvans), and other conditions (such as diabetes mellitus and hypothyroidism). Diagnosis involves a thorough history, scalp examination, and tests like the hair pull test and scalp biopsy. Treatments vary based on the cause and include medical treatments (topical steroids, minoxidil, finasteride), updated treatments (tofacitinib), and procedural treatments (PRP therapy, microneedling, low-level laser therapy, stem cell therapy, and hair transplants).

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in Research 692 upvotes 3 months 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.

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Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community C’est terrible - at my wits end

in Female 443 upvotes 1 year ago

A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

community To anyone that is still not seeing results on the big 3…

in Treatment 106 upvotes 2 years ago

User redh0t12 suggests using a derma pen for hair regrowth, as it helped them after using finasteride and minoxidil. Others discuss their experiences with various treatments, including derma rolling, oral and topical minoxidil, and finasteride, with mixed results.

community How essential is scalp biopsy when dealing with hair loss?

in Treatment 6 upvotes 4 weeks ago

The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.