Alopecias in Lupus Erythematosus

    October 2018 in “ Lupus Science & Medicine ”
    Josef Symon S. Concha, Victoria P. Werth
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    TLDR Different types of hair loss in lupus need careful diagnosis for proper treatment.
    The document from October 2018 examines the different types of hair loss in lupus erythematosus (LE), emphasizing the need to differentiate between hair loss that is specific to LE and that which is not related to the disease. It notes that over 80% of systemic lupus erythematosus (SLE) patients experience skin symptoms, including hair loss in more than half of the cases. Discoid lupus erythematosus (DLE) is identified as the most common LE-specific scarring alopecia. The paper stresses the importance of histopathology, direct immunofluorescence (DIF), and serological tests for accurate diagnosis, and suggests a multidisciplinary approach for patients with unclear causes of hair loss. It also discusses non-scarring alopecias in LE, such as 'lupus hair' and alopecia areata, and the importance of distinguishing these from other hair loss conditions. The document concludes that thorough evaluation using various diagnostic tools is essential for proper classification and management of alopecia in LE patients.
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      in Treatment  6 upvotes 5 years ago
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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

      by nkrata 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 2 years of fin, 1.5 years of minoxidil, calling it quits. Thank you.

      in Shaved/buzzed  567 upvotes 2 years ago
      This user has been struggling with hair loss for the past two years and attempted to treat it using finasteride and minoxidil. Despite their efforts, they have not seen any improvement in their condition, so they have decided to shave or buzz their head instead. Others gave advice on other treatments that could be tried if desired.

      community Not everyone should immediately go on Fin if they are starting to bald

      in Finasteride/Dutasteride  21 upvotes 2 years ago
      The conversation suggests that people should consult a dermatologist to understand their type of hair loss before starting treatments like finasteride or dutasteride, especially if they have autoimmune issues or low DHT. Some participants believe in starting treatment like finasteride immediately if hair loss is due to DHT, while others recommend ruling out other causes and considering minoxidil first, especially for younger individuals.

      community Finasteride not working isnt it MPB?

      in Finasteride/Dutasteride  5 upvotes 1 year ago
      A user is concerned that finasteride isn't working for their hair loss, questioning if it's due to male pattern baldness or low iron levels. They are advised to take finasteride daily and get blood work done.

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