Androgenic Alopecia and Differential Diagnoses of Alopecia

Androgenic alopecia is a hereditary, non-scarring hair loss condition influenced by androgens, with an autosomal dominant inheritance pattern and variable gene penetration. It affects both men and women differently, shortening the anagen phase and lengthening the telogen phase of hair growth. Diagnosis is primarily clinical, supported by tests like hair pull tests, trichoscopy, and scalp biopsies if needed. Treatment options include topical and oral minoxidil, finasteride, dutasteride, platelet-rich plasma, mesotherapy, hair transplantation, and laser therapy, alongside psychological support due to the significant impact on mental health and quality of life. A multidisciplinary team, including nurses, is essential in managing androgenic alopecia.