Clinical Review of Hereditary Androgenetic Alopecia (Part 6)

This study evaluated 789 Korean men and women with androgenetic alopecia, finding that the condition was more prevalent in men (520) than women (269), with most patients in their twenties. In men, Norwood class IIIv was most common, while Ludwig class I was predominant in women. A significant familial history of androgenetic alopecia was noted in both genders. Seborrheic dermatitis was the most common associated disorder. Elevated serum testosterone levels were found in 17.6% of men and 13.3% of women. Among 56 women who underwent pelvic ultrasound, 18% showed abnormalities, such as ovarian cysts and uterine myoma. The study concluded that androgenetic alopecia has a genetic and familial tendency and is linked to androgen levels, with an increasing number of cases observed. However, routine pelvic ultrasound was deemed inappropriate for evaluation.