Androgenetic Alopecia

    January 2023 in “ Springer eBooks
    Anna Waśkiel‐Burnat, Lidia Rudnicka
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    TLDR Most older adults experience pattern hair loss due to shrinking hair follicles, with men and women showing different balding patterns.
    Androgenetic alopecia, also known as pattern hair loss, is the most prevalent form of hair loss, impacting 73% of men and 57% of women over 80. It's caused by the androgen-dependent progressive miniaturization of hair follicles, leading to different patterns of hair loss in men and women. Men typically experience bitemporal recession of the frontal hairline and diffuse thinning at the vertex, while women show a 'Christmas tree' pattern, central scalp involvement with the sparing of the frontal hairline, or bitemporal recession. Trichoscopy is a useful tool for diagnosing this condition, assessing the severity of hair loss, and tracking the effectiveness of treatments. The primary treatments include topical and oral minoxidil, 5-alpha reductase inhibitors, and antiandrogen agents.
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