The Convergence Between Diagnostic Methods in Women With Non-Scarring Hair Loss

October 2017 in “ Iranian Journal of Dermatology ”

Nona Zabolinejad, Hoseininejad Masoumeh, Jannatipour Maryam, Pouran Layegh

androgenetic alopecia non-scarring hair loss clinical examination histopathologic studies hormone levels iron female pattern hair loss

TLDR Clinical exams are good for diagnosing some women's hair loss, but lab tests aren't always needed.

The study, involving 41 women with an average age of 28.1 years and a mean hair loss duration of 6.2 years, aimed to assess the correlation between different diagnostic methods for non-scarring hair loss. Androgenetic alopecia was the most commonly identified hair loss type. Clinical examination was found to have a high sensitivity of 94% but a low specificity of 25% in detecting this condition. Laboratory tests, including hormone levels and iron, did not show a significant correlation with the clinical diagnosis. The study concluded that clinical examination can be effective in diagnosing certain types of non-scarring hair loss in women, but histopathologic studies are crucial for a definitive diagnosis, and routine endocrinology and laboratory tests may not be necessary for all hair loss cases.

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