Methods of Hair Loss Evaluation in Patients with Endocrine Disorders

    September 2010 in “ PubMed
    Małgorzata Olszewska, Olga Warszawik, Adriana Rakowska, Monika Słowińska, Lidia Rudnicka
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    TLDR The document concludes that most patients with endocrine disorders experience diffuse, non-scarring hair loss, with scarring hair loss being rare.
    The document from 2010 discussed hair loss in patients with various endocrine disorders such as hypopituitarism, hypothyreosis, hyperthyreosis, hypoparathyroidism, diabetes mellitus, growth hormone deficiency, hyperprolactinaemia, polycystic ovary syndrome, SAHA syndrome, congenital adrenal hyperplasia, Cushing syndrome, and virilising tumours. Most patients with these disorders presented with diffuse non-scarring alopecia, such as anagen effluvium, telogen effluvium or androgenetic alopecia. Focal non-scarring alopecia, such as alopecia areata coexisting with autoimmune thyroiditis, was less frequent and scarring alopecia was rare. The document also discussed various methods of hair loss evaluation, including hair weighing, pull test, wash test, the trichogram, and histopathological examination. Additionally, it mentioned newly developed non-invasive diagnostic techniques like the phototrichogram, trichoscan, trichoscopy, and reflectance confocal microscopy.
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