Managing Hair Loss

    January 1998 in “ Current Therapeutics ”
    Robert Rosén
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    TLDR Different causes of hair loss require specific treatments, and most men and women will experience some form of hair thinning as they age.
    The document from 26 years ago stated that humans typically lose 100 hairs per day and by the age of 50, 1% of the population would have experienced a patch of alopecia areata. The treatment for alopecia areata usually started with a potent topical steroid or intradermal steroid injection. Tinea capitis was best treated with oral antifungals. No hair regrowth could be expected in areas of the scalp replaced by scar tissue. Drugs induced diffuse, not patchy, hair loss. Conditions like pregnancy, high fevers, sudden weight loss, operations, drugs, and severe emotional stress could produce telogen effluvium. All men and most women experienced androgenetic alopecia, which could be treated with topical minoxidil, systemic anti-androgens such as spironolactone and cyproterone acetate for women, and the selective 5-alpha-reductase inhibitor finasteride for men. Treatment had to be continued for at least 6 months. Diffuse scalp hair loss could occur in nutritional and metabolic deficiency states.
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      community My experience and a discourse on “DUPA”

      in Chat  46 upvotes 1 year ago
      How diffuse unpatterned alopecia (DUPA) is not an invitation to self-diagnose oneself with aggressive AGA and that seeking a specialized dermatologist may help people experiencing hair loss. Treatment options discussed include topical clobetasol propionate, oral minoxidil, and discontinuing finasteride.

      community Scalp Inflammation is eating my hair!

      in Chat  26 upvotes 7 months ago
      A user with seborrheic dermatitis is experiencing bald spots and hair thinning despite changing their diet and taking oral minoxidil. Another user suggests using ketoconazole shampoo properly, using a scalp massager, applying rosemary/peppermint oil, keeping hair short, and taking fish oil to improve scalp health.

      community Why is no one pointing out dandruff as the number 1 evidence/symptom of MPB?

      in Chat  55 upvotes 1 year ago
      The post discusses the theory that persistent dandruff in areas prone to hair loss could be a sign of hair follicles dying due to DHT, indicating balding. The responses vary, with some users noting improvements in dandruff and hair loss with treatments like Dutasteride, while others experienced hair loss without dandruff.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

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