Introductory Chapter: Hair Loss

    May 2017 in “ InTech eBooks ”
    Zekayі Kutlubay, Server Serdaroğlu
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    TLDR The document explains the causes, types, diagnosis, and treatments of hair loss, and its psychological impact, especially on women.
    The document from 2017 provides an overview of hair loss, detailing its psychological effects, particularly on women, and its various causes, including genetic, autoimmune, infectious, and environmental factors. It describes different types of alopecia, such as alopecia areata with a lifetime incidence of 2.1%, androgenetic alopecia affecting up to 80% of white men by age 70, scarring alopecias, telogen effluvium, and trichotillomania. Diagnosis methods like the hair pull test, blood tests, and punch biopsy are essential for identifying the cause of hair loss. Treatment options range from medications like minoxidil and finasteride to hair transplantation techniques such as FUT and FUE, with FUE being less painful and scar-free but more time-consuming. The document also notes the high prevalence of psychological or psychiatric disorders among dermatology inpatients, with up to 60% affected, and the increased risk of mental disorders in women with scarring alopecia. It emphasizes the importance of understanding the pathogenesis of hair loss and mentions emerging treatments like mesotherapy and platelet-rich plasmas (PRPs).
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      Diffuse hair loss and scalp biopsies

      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 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.

      community My scalp punch biopsy results🤔?

      in Female  9 upvotes 1 year ago
      Female using Rogaine foam for hair loss had scalp punch biopsy, diagnosed with Androgenetic Alopecia (AGA). Doctor recommended starting Spironolactone 50mg.

      community C’est terrible - at my wits end

      in Female  445 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.

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