Child Abuse: Behavioral Aspects And Related Problems

January 2003 in “ Clínicas pediátricas de Norteamérica ”

Colette Gushurst

androgenetic alopecia minoxidil antiandrogens hair transplantation finasteride Ludwig stage I Ludwig stage II Ludwig stage III novel targeted therapies Rogaine Propecia

TLDR Androgenetic alopecia is a common cause of hair loss, with treatments like minoxidil and hair transplantation available, and new therapies are being developed.

Androgenetic alopecia was the most common cause of hair loss, affecting about 50% of men and 20-53% of women by age 50. It was a significant psychosocial issue despite being medically benign. For women with Ludwig stage I and II, minoxidil 5% solution was recommended, with antiandrogens as a secondary option despite limited efficacy data and adverse effects. Hair transplantation was suggested for unresponsive cases or Ludwig stage III if the donor area was adequate. For men, minoxidil or finasteride were offered, with the choice left to the patient. Hair transplantation was considered if the condition did not stabilize after 1 year or for increased hair density. Advances in treatment were promising, with potential for novel targeted therapies as understanding of the condition improved.

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