Androgenetic Alopecia in Women and Men: Italian Guidelines Adapted from European Dermatology Forum/European Academy of Dermatology and Venereology Guidelines

December 2020 in “ Giornale italiano di dermatologia e venereologia ”

Aurora Alessandrini, Michela Starace, Roberto D'Ovidio, Lucia Villa, Alfredo De Rossi, Teodora R Stan, Piergiacomo Calzavara-Pinton, Bianca Maria Piraccini

androgenetic alopecia AGA dihydrotestosterone DHT trichoscopy topical minoxidil antiandrogen agents 5-alpha reductase inhibitors androgenic alopecia Rogaine Propecia

TLDR Italian guidelines recommend using trichoscopy for diagnosis and treatments like minoxidil for hair loss.

The document outlined Italian guidelines for treating androgenetic alopecia (AGA), a prevalent form of hair loss affecting up to 80% of men and 50% of women. AGA is characterized by the thinning and shortening of hair due to the influence of dihydrotestosterone (DHT) on sensitive hair follicles, with distinct clinical presentations in men and women. Trichoscopy was recommended for diagnosis and monitoring. Treatment options included topical minoxidil, antiandrogen agents, and 5-alpha reductase inhibitors. These guidelines were adapted from the European Dermatology Forum and the European Academy of Dermatology and Venereology, providing evidence-based and expert-based recommendations.

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