Autistic-Undisciplined Thinking in the Practice of Medical Trichology

January 2019 in “ International Journal of Trichology ”

Ralph M. Trüeb, Hudson Dutra, Maria Fernanda Reis Gavazzoni Dias

iron supplementation antiandrogenic treatment individualized cell-based therapy female androgenetic alopecia androgens oral finasteride platelet-rich plasma PRP iron supplements antiandrogens cell therapy female pattern hair loss Propecia

TLDR The article concludes that treating hair loss requires careful research, understanding the causes, and personalized treatment plans.

The 2019 article "Autistic-undisciplined thinking in the practice of medical trichology" discussed the potential harm to patients due to malpractice in medical trichology, specifically the misuse of iron supplementation, antiandrogenic treatment, and individualized cell-based therapy in female androgenetic alopecia. The author argued against uncritical iron supplementation in women with hair loss, and questioned the role of androgens in female androgenetic alopecia, suggesting a more complex etiology. The article also discussed the inferior efficacy of oral finasteride in women compared to men, with a study of 37 pre-menopausal women showing improvement in 62% of cases. Side effects of antiandrogen treatment were noted, and the efficacy of platelet-rich plasma (PRP) in treating hair loss was found to be inferior to first-line therapies. The article concluded by emphasizing the need for careful research design, understanding of underlying causes, and individualized treatment plans in treating hair loss.

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