Hair Disorders Update: Alopecia to Hirsutism

    November 2000 in “ Current problems in dermatology
    Amy J. McMichael
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    TLDR New treatments for hair loss and excessive hair growth show promise with few side effects and advancements in laser technology.
    The document from 2000 discusses advancements in the treatment of hair disorders, particularly alopecia and hirsutism. For alopecia, two new treatments were highlighted: finasteride, an oral medication that has been shown to slow hair loss progression and increase hair growth in men with androgenetic alopecia, and minoxidil 5%, a topical solution approved for men. Both treatments had limited side effects, with finasteride causing decreased libido in 1.9% of men compared to 1.3% on placebo. Laser technology was also improving hair transplantation outcomes. For alopecia areata, new therapies included sensitization with agents like squaric acid and high-pulse doses of corticosteroids. Aromatherapy showed potential in a study with 86 patients. In treating hirsutism, finasteride showed promise in reducing symptoms with few side effects, and a new topical agent, Vaniga (Eflornithine HCl), was approved for unwanted facial hair in women. Laser-assisted hair removal technologies were advancing, offering long-term reduction in unwanted hair. The document anticipates future treatments to focus on hormonal modulation of hair loss in women and improved laser hair removal for all skin types.
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