Development and Validation of a Dermoscopic Severity Score for Female Pattern Hair Loss

December 2021 in “ Skin appendage disorders ”

Mariana Álvares Penha, Paulo Müller Ramos, Vinicius Alexandre Sikora de Souza, Hélio Amante Miot

female pattern hair loss FPHL dermoscopic severity score terminal hairs miniaturized hairs scalp pigmentation female pattern baldness

TLDR A reliable severity score for female pattern hair loss was developed and validated.

The study developed and validated a dermoscopic severity score for female pattern hair loss (FPHL) by conducting a cross-sectional study with 76 women with FPHL and 12 controls. The research identified significant variables such as total terminal hairs, total miniaturized hairs, and various scalp pigmentation signs. The final model showed a high correlation (rho = 0.89) with clinical assessments, indicating that the severity score is both objective and reliable. This score can be used as an additional outcome measure in therapeutic trials for FPHL.

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Research cited in this study

18 / 18 results

research Prevalence of Female Pattern Hair Loss in a Multiracial Population

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research Minoxidil 1 mg Oral Versus Minoxidil 5% Topical Solution for the Treatment of Female-Pattern Hair Loss: A Randomized Clinical Trial

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Trichoscopy is useful for detecting and monitoring androgenetic alopecia.

research Apoptosis in Follicles of Individuals with Female Pattern Hair Loss Is Associated with Perifollicular Microinflammation

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Hair loss in women links to inflammation around hair follicles.

research Towards a Consensus on How to Diagnose and Quantify Female Pattern Hair Loss – The Female Pattern Hair Loss Severity Index (FPHL-SI)

26 citations, December 2015 in “Journal of The European Academy of Dermatology and Venereology”

New method measures female hair loss: Female Pattern Hair Loss Severity Index (FPHL-SI).

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91 citations, August 2015 in “Anais Brasileiros De Dermatologia”

Female Pattern Hair Loss affects women's self-esteem and needs more research for better treatment.

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The hair shedding scale accurately identifies abnormal hair shedding in women with long hair, with grades 5 and 6 indicating excessive shedding.

research Trichoscopic Findings of Androgenetic Alopecia and Their Association with Disease Severity

30 citations, March 2015 in “Journal of Dermatology”

Hair thickness differences help diagnose hair loss severity.

research Scalp Dermoscopy or Trichoscopy

69 citations, January 2015 in “Current problems in dermatology”

Trichoscopy is a quick, noninvasive method to diagnose hair and scalp disorders, often reducing the need for biopsies.

research Evaluation and Diagnosis of the Hair Loss Patient

69 citations, August 2014 in “Journal of The American Academy of Dermatology”

Trichoscopy is a quick, cost-effective tool for diagnosing different hair loss conditions.

research Scalp Dermatoscopic Findings in Androgenetic Alopecia and Their Relations with Disease Severity

30 citations, January 2014 in “Annals of Dermatology”

Scalp dermatoscopy helps diagnose and monitor hair loss severity.

research Is Trichoscopy a Reliable Tool to Diagnose Early Female Pattern Hair Loss?

10 citations, January 2013 in “International Journal of Trichology”

Trichoscopy effectively diagnoses early female hair loss, but may need scalp biopsy for confirmation.

research Androgenetic Alopecia: An Update

88 citations, January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”

Minoxidil and finasteride effectively treat hair loss.

research Dermoscopy Findings in Female Androgenetic Alopecia

12 citations, October 2012 in “Anais Brasileiros De Dermatologia”

Dermoscopy effectively diagnoses and evaluates female hair loss treatment.

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 Female Pattern Hair Loss: Clinical and Laboratory Findings and Trichoscopy Depending on Disease Severity

28 citations, January 2012 in “International Journal of Trichology”

Genetics affect early female hair loss, severity depends on duration, and low ferritin levels not significant.

research Women Who Present With Female Pattern Hair Loss Tend To Underestimate The Severity Of Their Hair Loss

29 citations, April 2004 in “British Journal of Dermatology”

Women with female pattern hair loss often underestimate how severe it is.

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community Spironolactine Update: 2 months (34, Female)

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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.

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in Progress Pictures 142 upvotes 2 years ago

A user's experience with hair loss treatments such as finasteride, ketoconazole, and oral minoxidil that have not yielded any results; other users suggest shaving the head or getting a wig, while others offer additional advice such as seeing a dermatologist, checking thyroid levels, switching to dutasteride and adding needling, and trying stemoxydine.

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