Clinicodermoscopic Evaluation of Chronic Diffuse Hair Loss Among Females in a Tertiary Care Center

August 2022 in “ Our Dermatology Online ”

S. Sathish, Kalasapura Ramegowda Raghavendra, Hanumaiah Bangaru, Ashok K. Prasad

chronic diffuse hair loss Telogen effluvium Female androgenetic alopecia diffuse alopecia areata dermoscopic findings yellow dots hair diameter diversity nutritional deficiencies iron deficiency thyroid disorders hair loss iron levels thyroid issues

TLDR The conclusion is that examining the scalp closely and checking for iron levels and thyroid issues is key to understanding chronic hair loss in women.

The study "A clincodermoscopic evaluation of chronic diffuse hair loss among females in a Tertiary Care Center" involved 50 female patients, primarily aged 18 to 30, suffering from chronic diffuse hair loss. The most common cause of hair loss was Telogen effluvium (61%), followed by Female androgenetic alopecia (19%), and diffuse alopecia areata (14%). Dermoscopic findings were crucial in differentiating types of hair loss, with yellow dots being the most common in Telogen effluvium cases and hair diameter diversity more than 20% in Female androgenetic alopecia. The study also found a significant correlation between hair loss and nutritional deficiencies, particularly iron, and thyroid disorders. The researchers concluded that thorough dermoscopic evaluation and consideration of all possible causes, including iron levels and thyroid disorders, are essential in the evaluation of chronic hair loss in females.

View this study on odermatol.com →

Discuss this study in the Community →

Related Community Posts Join

6 / 324 results

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 830 upvotes 1 year ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community Calling out diffuse thinners here -- Have you ruled out other factors?

in Treatment 54 upvotes 10 months ago

Diffuse hair loss is often linked to genetics but can also be due to health issues like thyroid problems and low vitamin or iron levels. Treatments include finasteride, minoxidil, and dutasteride, with some seeing improvements after addressing health issues.

community Finasteride doesn't work for me in 2 years and my bloodtest result just came in.

in Progress Pictures 88 upvotes 1 year ago

A user has been treating hair loss with finasteride for two years without success and is experiencing an itchy scalp with seborrhea. Despite low DHT levels, they are still losing hair, suggesting that DHT might not be the main cause of their hair loss, and they are considering other treatments or causes.

community Dutasteride Isn't Working? Get a Scalp Biopsy NOW

in Finasteride/Dutasteride 19 upvotes 6 months ago

Dutasteride may not be effective for everyone due to underlying issues, suggesting scalp biopsies for further diagnosis. Users discuss using higher doses of dutasteride, topical treatments, minoxidil, and pyrilutamide for hair loss management.

community Yes your lifestyle and diet has its role in hair loss.

in Chat 296 upvotes 1 week ago

Diet and lifestyle changes can reduce hair shedding but won't regrow hair lost to genetic male pattern baldness. Treatments like finasteride and dutasteride are necessary for significant hair regrowth.

community Anyone else realize how many younger guys are balding?

in Chat 262 upvotes 11 months ago

Many younger men are experiencing hair loss due to genetics, diet, stress, and lifestyle changes. Treatments like finasteride and minoxidil are mentioned, with some users noting improvements.

Related Research

4 / 4 results

research Baricitinib Results in Eyebrow and Eyelash Growth in Patients With Alopecia Areata Who Do Not Achieve 20% or Less Scalp Hair Loss

1 citations , September 2022 in “Journal of The American Academy of Dermatology”

Baricitinib helps grow eyebrows and eyelashes in severe alopecia areata patients.

research Trichoscopy as an Essential Diagnostic Technique for Hair and Scalp Disorders in Skin of Color: A Case-Control Study

July 2021 in “Indian journal of dermatopathology and diagnostic dermatology”

Trichoscopy is a reliable method for diagnosing hair and scalp disorders quickly and non-invasively.

research Hair and Scalp Dermatoscopy

245 citations , March 2012 in “Journal of The American Academy of Dermatology”

Dermatoscopy is useful for identifying different hair and scalp conditions and can reduce the need for biopsies.

research Alopecia Areata: Clinical Presentation, Diagnosis, and Unusual Cases

109 citations , May 2011 in “Dermatologic Therapy”

Alopecia areata is a type of hair loss that can lead to complete baldness, often associated with other autoimmune conditions, and half of the cases may see hair return within a year.