Study of Endocrinal Profile and Trichoscopic Features in Female Pattern Hair Loss at Tertiary Care Hospital

October 2022 in “ International Journal of Research in Dermatology ”

Ravina Naik, Pankaj Shukla

TLDR Hormonal imbalances contribute to female hair loss, and trichoscopy is a useful diagnostic tool.

This study investigated the role of endocrine disturbances and trichoscopic findings in female pattern hair loss (FPHL) using a prospective case-control design with 100 cases and 100 age-matched controls. Significant differences were found in body mass index, hemoglobin, T4, prolactin, follicle-stimulating hormone, testosterone, and dehydroepiandrosterone levels between cases and controls. Trichoscopic examination revealed that hair diameter diversity was the most common finding, with focal atrichia, 2-3 hairs per hair unit, white dots, and honeycomb pigmentation correlating with the grade of hair loss. The study supports the role of hormonal disturbances in FPHL and recommends early testing for severe cases. Trichoscopy is highlighted as a valuable, non-invasive, and cost-effective diagnostic tool to differentiate FPHL from other conditions like chronic telogen effluvium.

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