Diagnostic Evaluation of Hair Loss: A Narrative Review

    Abena Minta, Lucy Rose, Shogo Kobayashi, Brittany Dulmage
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    TLDR Hair loss greatly affects quality of life, and dermatologists are crucial for proper diagnosis and treatment.
    This narrative review by Minta et al. emphasizes the significant psychosocial impact of alopecia on patients' quality of life and the critical role of dermatologists in evaluating hair loss. It provides a systematic approach for diagnosing hair loss disorders, including thorough history taking, physical examination, and specialized tests such as trichoscopy, laboratory tests, and hair pull and tug tests. The review highlights the importance of understanding various types of alopecia, their unique clinical presentations, and the need for standardized quality of life tools to promote earlier referrals to dermatology and appropriate management strategies.
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      TE (telogen effluvium) is often misunderstood and is triggered by severe stress or trauma, not minor daily inconveniences. Most hair loss cases are due to male pattern baldness (AGA), and treatments like Minoxidil and finasteride can help.

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      in General  125 upvotes 1 day ago
      The user noticed small circular hairless spots after a buzz cut and has been using finasteride, dutasteride, and oral minoxidil for hair loss. They are experiencing continuous shedding and thinning, and it is suggested they consult a dermatologist for a scalp examination and possible biopsy to determine if it's alopecia areata or androgenetic alopecia.

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