Differences in Demographic and Clinical Characteristics Among Subtypes of Female Pattern Hair Loss

    Nawara Sakpuwadol, Kasama Tejapira, Chaninan Kositkuljorn, Cherrin Pomsoong, Poonkiat Suchonwanit
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    TLDR Different types of female pattern hair loss have unique characteristics and are associated with various health conditions.
    The study "Differences in Demographic and Clinical Characteristics Among Subtypes of Female Pattern Hair Loss" analyzed 519 patients with Female Pattern Hair Loss (FPHL). The most common subtype was the Ludwig pattern (51.1%), followed by the Olsen (32.9%) and Hamilton-Norwood (16%) patterns. The Hamilton-Norwood subtype had the earliest average age of onset (41.5 years) and the highest prevalence in the early onset group (61.4%). The Ludwig pattern had the longest median disease duration (7 years) and the highest proportion of grade III severity (25.3%). Overweight was predominant in the Olsen (39.8%) and Ludwig (37.8%) patterns, while the Hamilton-Norwood subtype showed a lower proportion (24.1%). Type 2 Diabetes Mellitus (DM) showed a significant difference among the categories, and the Hamilton-Norwood group had the highest proportion of patients with Polycystic Ovary Syndrome (PCOS) (18.1%). The study also found that 74.5% of the participants had a family history of Androgenetic Alopecia (AGA) or FPHL, indicating a genetic role in FPHL. The study recommends thorough examinations for comorbidities in patients with FPHL, particularly those with specific subtypes.
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