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

Studysummary This study developed and validated an objective dermoscopic severity score for evaluating female pattern hair loss, which may serve as a supplementary outcome measure in therapeutic trials.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

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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18 / 18 results

research Prevalence of Female Pattern Hair Loss in a Multiracial Population

2 citations , April 2021 in “Journal of The American Academy of Dermatology”

This study found that female pattern hair loss was highly prevalent among a multiracial Brazilian population, affecting over 30% of women, and age was a significant risk factor.

research Female Androgenetic Alopecia: An Update on Diagnosis and Management

43 citations , November 2019 in “American Journal of Clinical Dermatology”

This review discusses female androgenetic alopecia, highlighting its diagnostic challenges and management strategies, but it reports no new results.

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

53 citations , August 2019 in “Journal of The American Academy of Dermatology”

This study observed that low-dose oral minoxidil and topical minoxidil 5% solution both improved hair density in women with female-pattern hair loss, but oral minoxidil may offer advantages in reducing hair shedding.

research Correlation of Trichoscopic Findings in Androgenetic Alopecia and the Disease Severity

12 citations , January 2019 in “International Journal of Trichology”

This study found that trichoscopy revealed significant differences in certain variables, such as the brown peripilar sign and white peripilar sign, which may aid in diagnosing early and late stages of androgenetic alopecia.

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

30 citations , May 2016 in “International Journal of Cosmetic Science”

This study found that apoptosis was more prevalent in hair follicles of women with female pattern hair loss, particularly in miniaturized follicles, and was associated with follicular inflammation.

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”

This article introduces a new grading system called the FPHL Severity Index to better identify and monitor early stages of female pattern hair loss using clinical criteria.

research Female Pattern Hair Loss: A Clinical and Pathophysiological Review

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

This review discusses the clinical, epidemiological, and pathophysiological aspects of female pattern hair loss, reporting no new research findings.

research Hair Shedding in Women: How Much Is Too Much?

32 citations , April 2015 in “British Journal of Dermatology”

This article discusses hair shedding in women and does not offer new research results; it highlights the need for objective criteria to define excessive hair shedding.

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

30 citations , March 2015 in “Journal of Dermatology”

This study found that certain trichoscopic features like white peripilar sign, yellow dots, and scalp pigmentation are positively correlated with the severity of androgenetic alopecia in Chinese patients.

research Scalp Dermoscopy or Trichoscopy

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

This review discusses trichoscopy as a noninvasive, effective technique for diagnosing various hair loss conditions and monitoring treatment, highlighting its potential to reduce scalp biopsy necessity.

research Evaluation and Diagnosis of the Hair Loss Patient

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

This review discusses recent advances in trichoscopy for differentiating types of alopecia and presents a systematic approach for using its diagnostic findings, but reports no new clinical results.

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

30 citations , January 2014 in “Annals of Dermatology”

This study observed no significant relationship between trichoscopic findings and disease severity in male or female androgenetic alopecia, despite some specific patterns correlating with different severity levels in female patients.

research Androgenetic Alopecia: An Update

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

This article reviews recent advancements in understanding and treating androgenetic alopecia, focusing on new genetic insights, stem cell roles, and diagnostic tools, without reporting new clinical results.

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

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

This study found that trichoscopy using anisotrichosis criteria was 75% sensitive and 61.54% specific in diagnosing early female pattern hair loss in women without visible hair thinning.

research Dermoscopy Findings in Female Androgenetic Alopecia

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

This study found that dermoscopy is an effective tool for diagnosing and monitoring androgenetic alopecia in women, as it helped identify common signs such as hair miniaturization and peripilar brown halo.

research Hair and Scalp Dermatoscopy

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

This review discusses the dermoscopic features of common hair and scalp disorders and reports no new clinical results, aiming to assist dermatologists in diagnosing conditions like tinea capitis and alopecia areata.

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

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

This study observed that specific trichoscopic features like white peripilar signs, scalp pigmentation, and focal atrichia are associated with advanced female pattern hair loss in Fitzpatrick skin type III patients.

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”

This study found that women with female pattern hair loss awaiting treatment tend to underestimate their hair loss severity compared to their clinicians' evaluations.