Evaluation and Diagnosis of the Hair Loss Patient

    Thamer Mubki, Lidia Rudnicka, Małgorzata Olszewska, Jerry Shapiro
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    TLDR To diagnose hair loss, use a systematic approach including history, exams, and tests.
    The document provided a comprehensive guide for evaluating and diagnosing hair loss (alopecia) in patients, emphasizing a systematic approach that includes history taking, clinical examination, trichoscopy, and laboratory investigations. It differentiated between scarring and nonscarring alopecias and highlighted the prevalence of specific hair disorders in different age groups. Key diagnostic steps involved understanding primary complaints, recognizing patterns of hair loss, and considering associated symptoms. The document also detailed various types of alopecia, such as androgenetic alopecia, telogen effluvium, and alopecia areata, and stressed the importance of a thorough medical and family history, especially in women with hyperandrogenism. Diagnostic techniques like the hair pull test, scalp biopsies, and the use of dermatoscopes were outlined to aid in accurate diagnosis and management.
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