Characterizing Hair Loss in the Elderly: An Observational Study of 163 Patients

    March 2019 in “ JEADV. Journal of the European Academy of Dermatology and Venereology/Journal of the European Academy of Dermatology and Venereology ”
    Rosalynn R.Z. Conic, Margit Juhász, Pooja H. Rambhia, Giovanni Damiani, Natasha Atanaskova-Mesinkovska, Melissa Piliang, Wilma F. Bergfeld
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    TLDR Hair loss in elderly people is often due to health issues and needs better diagnosis and treatment.
    This observational study of 163 elderly patients found that the most common types of hair loss were telogen effluvium (42.9%), lichen planopilaris (22.7%), and androgenetic alopecia (16.6%). Most patients were Caucasian females, except for central cicatricial centrifugal alopecia, which was more common in African Americans. The study emphasized that hair loss in the elderly is often linked to systemic diseases, hormonal imbalances, and nutritional deficiencies, highlighting the need for integrative treatment approaches. It also noted that hair loss in the elderly is underrepresented in clinical and research settings, resulting in delayed diagnosis and treatment.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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      in Research  830 upvotes 8 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 C’est terrible - at my wits end

      in Female  442 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 Duta 2,5mg/day - No Progress - 28M

      in Update  5 upvotes 2 weeks ago
      A 28-year-old is experiencing hair loss despite using treatments like oral minoxidil, finasteride, and high-dose dutasteride (2.5 mg). They suspect lichen planus might be contributing to the issue and plan to continue treatment while monitoring progress.

      community 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 5 months ago
      The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 6 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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