Hair Presentation Test

    Valerie Yii, Meryl Thomas, Rodney Sinclair
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    TLDR The woman's hair loss pattern doesn't match typical conditions like alopecia areata or female pattern hair loss.
    A 20-year-old woman experienced progressive asymptomatic hair loss over seven years, starting on her eyebrows and spreading to her scalp. Despite previous diagnoses of alopecia areata or female pattern hair loss, her condition did not match these patterns. The hair loss areas changed gradually, with some improving and others worsening. Clinical examination revealed multiple broken hairs of varying lengths without actual baldness, and trichoscopic examination showed no inflammation, hair miniaturization, or exclamation mark hairs.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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

      in Research  827 upvotes 5 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 How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 2 months 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.

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