Evaluation and Diagnosis of the Hair Loss Patient

    Thamer Mubki, Lidia Rudnicka, Małgorzata Olszewska, Jerry Shapiro
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    TLDR Trichoscopy is a quick, cost-effective tool for diagnosing different hair loss conditions.
    The document reviewed the use of trichoscopy, a noninvasive technique for evaluating hair and scalp disorders, highlighting its diagnostic value in differentiating various types of alopecia and other hair loss conditions. Trichoscopy allowed for the magnified observation of hair shafts, follicle openings, and blood vessels, aiding in the diagnosis of conditions such as alopecia areata, patterned hair loss, telogen effluvium, trichotillomania, tinea capitis, lichen planopilaris, frontal fibrosing alopecia, folliculitis decalvans, dissecting cellulitis, and discoid lupus erythematosus. The document emphasized that trichoscopy is a quick, cost-effective bedside technique that provides key diagnostic information, helping to assess the activity and severity of hair loss disorders and guiding biopsies for accurate pathological assessment.
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      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 1 month ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 months ago
      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.

      community Seeking Advice: Unusual Hair Loss at 31 Years Old - Any Insights? (M)

      in Chat  15 upvotes 8 months ago
      A 31-year-old man who previously had good results with minoxidil, finasteride, and nizoral for hair loss is now experiencing unusual hair loss and side effects from finasteride. Respondents suggest it might be severe retrograde alopecia and recommend exploring other treatment options due to his inability to tolerate finasteride.

      community My experience and a discourse on “DUPA”

      in Chat  46 upvotes 2 years ago
      How diffuse unpatterned alopecia (DUPA) is not an invitation to self-diagnose oneself with aggressive AGA and that seeking a specialized dermatologist may help people experiencing hair loss. Treatment options discussed include topical clobetasol propionate, oral minoxidil, and discontinuing finasteride.

      community I bought a microscope, how does my scalp/hairs look? I've been suffering diffuse thinning and hair loss after covid and never recovered (2 yrs ago) I eat healthy, in shape and workout.

      in Progress Pictures  86 upvotes 9 months ago
      A person with hair loss since COVID-19 is considering treatments like finasteride and minoxidil but is hesitant due to potential side effects. Suggestions include visiting a dermatologist, using a ketoconazole shampoo, and considering that post-COVID hair loss might be an autoimmune response.

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