Disorders of Hair

December 2020

Lidia Rudnicka, Anna Waśkiel‐Burnat

alopecia androgenetic alopecia telogen effluvium alopecia areata cicatricial alopecia non-cicatricial alopecia hypertrichosis hirsutism

TLDR Hair disorders are complex and varied, including hair loss, excessive growth, color, and shaft issues.

The document discussed various hair disorders, categorizing them into hair loss (alopecia), excessive hair growth, hair color abnormalities, and hair shaft abnormalities. Hair loss was further divided into non-cicatricial and cicatricial types. Non-scarring alopecias included androgenetic alopecia, telogen effluvium, and alopecia areata. Cicatricial alopecia was classified into primary and secondary, with primary cicatricial alopecia further divided based on the type of inflammatory cells present in scalp biopsy specimens. Excessive hair growth was categorized into hypertrichosis and hirsutism. The document provided a comprehensive overview of these conditions, highlighting the complexity and variety of hair disorders.

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Research cited in this study

12 / 12 results

research Cicatricial Alopecia: Overview and Treatment Recommendations

23 citations , April 2018 in “Journal der Deutschen Dermatologischen Gesellschaft”

Permanent hair loss from cicatricial alopecia is treated by reducing inflammation and managing symptoms, but regrowth in scarred areas is unlikely.

research Alopecia Areata: Treatment Options and Efficacy

182 citations , December 2017 in “Journal of the American Academy of Dermatology”

Some treatments can help with a hair loss condition called alopecia areata, but none ensure lasting results; choices depend on the person, with JAK inhibitors showing promise for severe cases.

research Alopecia Areata: Current Situation and Perspectives

34 citations , October 2017 in “Archivos Argentinos De Pediatria”

Alopecia Areata is a complex, unpredictable autoimmune hair loss condition with limited treatment options and a significant psychological impact.

research Central Centrifugal Cicatricial Alopecia: New Insights and a Call for Action

27 citations , September 2017 in “Journal of Investigative Dermatology Symposium Proceedings”

Hair loss in black women needs more research, early intervention, and community education.

research Alopecia Areata: An Update on Treatment Options for Children

21 citations , May 2017 in “Paediatric drugs”

Individualized treatment plans are crucial for children with alopecia areata, with promising options like JAK inhibitors showing significant hair regrowth.

research Androgenetic Alopecia: A Review

153 citations , March 2017 in “Endocrine”

Male pattern baldness involves genetics, hormones, and needs better treatments.

research Central Centrifugal Cicatricial Alopecia: Challenges and Solutions

37 citations , August 2016 in “Clinical, Cosmetic and Investigational Dermatology”

The document concludes that better treatments for CCCA are needed and more research is required to understand its causes related to hairstyling and genetics.

research Alopecia Areata: Part 2: Treatment

14 citations , September 2015 in “PubMed”

Alopecia areata can be managed with various treatments, and severe cases should be referred to dermatologists.

research Treatment of Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

117 citations , March 2013 in “Journal of the European Academy of Dermatology and Venereology”

No effective treatment for frontal fibrosing alopecia was found, but oral 5-alpha-reductase inhibitors had the best response; for lichen planopilaris, topical corticosteroids were commonly used but had a high relapse rate.

research Telogen Effluvium: A Review of Acute and Chronic Forms

67 citations , January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”

Chronic Telogen Effluvium may resolve after years and is diagnosed by examining the patient's history and clinical signs, with treatment aimed at underlying causes and possibly minoxidil.

research Androgenetic Alopecia: An Update

88 citations , January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”

Minoxidil and finasteride effectively treat hair loss.

research Lichen Planopilaris: Update on Diagnosis and Treatment

160 citations , March 2009 in “Seminars in Cutaneous Medicine and Surgery”

New insights show Lichen Planopilaris is a rare, scarring hair loss condition, hard to treat, mainly affecting middle-aged women, and significantly impacts mental health.

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community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 830 upvotes 1 year 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 Dutasteride Isn't Working? Get a Scalp Biopsy NOW

in Finasteride/Dutasteride 19 upvotes 9 months ago

Dutasteride may not be effective for everyone due to underlying issues, suggesting scalp biopsies for further diagnosis. Users discuss using higher doses of dutasteride, topical treatments, minoxidil, and pyrilutamide for hair loss management.

community I am a dermatologist with a clinical interest in alopecia. AMA

in Will treatment work for me? 3 years ago

In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

community can someone please tell me its going to get better? im bawling my eyes out

in Female 67 upvotes 3 years ago

A 16-year-old girl is experiencing hair loss, which has worsened despite using minoxidil and multivitamins. Suggestions include broader hormone testing and considering other treatments like spironolactone if the hair loss is due to androgenic alopecia.

community 2 months progress. Hair is shorter in the first pic, same length in the second and third.

in Progress Pictures 294 upvotes 2 years ago

User reports 2 months progress using daily oral fin 1mg, twice daily topical min 5%, and intermittent dermapen. Others share their experiences, suggesting patience and additional treatments like alternating shampoos, using conditioner, tretinoin, and vitamins.

community AGA evaluation and first steps - BEGINNER MEGAPOST

in Chat 81 upvotes 1 year ago

The conversation discusses androgenic alopecia (AGA) and its treatments, focusing on finasteride, minoxidil, and ketoconazole shampoo. Finasteride is recommended as essential for preventing further hair loss.