Hair Presentation Test

December 2024 in “ Australian Journal of General Practice ”

Valerie Yii, Meryl Thomas, Rodney Sinclair

alopecia areata female pattern hair loss trichoscopic examination hair miniaturization

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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Research cited in this study

3 / 3 results

research Diagnostic Accuracy of Trichoscopy in Trichotillomania: A Systematic Review

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Trichoscopy is a reliable method for diagnosing hair-pulling disorder.

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Trichoscopy is useful for diagnosing hair-pulling disorder.

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The normal range for the hair pull test is 2 hairs or fewer, and washing or brushing hair before the test does not affect the results.

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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 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.

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

in Female 67 upvotes 2 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 C’est terrible - at my wits end

in Female 443 upvotes 1 year ago

A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

community A meta analysis of 18 popular hair loss treatments. An 2022 guide on efficacy. From finasteride and minoxidil to caffeine shampoo, saw palmetto and biotin. 96 Scientific References included.

in Research/Science 103 upvotes 2 years ago

Most hair loss treatments are ineffective; only finasteride, dutasteride, and minoxidil show effectiveness.

community Starting Spironolactone, any ladies in here with experience or success?

in Female 56 upvotes 1 year ago

A female user starting Spironolactone treatment for thinning hair, and others sharing their experiences with Minoxidil and oral/sublingual Minoxidil as treatments.

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