Patterned Hair Loss: A 47-Year-Old Man With Symmetrical Hair Loss and Itching Diagnosed With Fibrosing Alopecia in a Pattern Distribution

January 2022 in “ Clinical Cases in Dermatology ”

Shashank Bhargava, Antonellá Tosti

TLDR A 47-year-old man was diagnosed with a specific type of hair loss and advised to use certain medications and avoid hair transplants.

A 47-year-old man presented with symmetrical hair loss and itching, diagnosed as fibrosing alopecia in a pattern distribution (FAPD) through trichoscopy and biopsy. The biopsy showed a lymphohistiocytic infiltrate and interface dermatitis. He was advised to use clobetasol propionate solution and oral minoxidil, and to avoid hair transplantation due to the risk of koebnerization.

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Research cited in this study

9 / 9 results

research Fibrosing Alopecia in a Pattern Distribution

30 citations, January 2020 in “Journal of The American Academy of Dermatology”

Fibrosing alopecia in a pattern distribution is a hair loss condition often confused with other types, requiring early treatment but usually not resulting in significant hair regrowth.

research Off-Label Use of Topical Minoxidil in Alopecia: A Review

32 citations, January 2019 in “American Journal of Clinical Dermatology”

Minoxidil helps treat eyebrow thinning, monilethrix, early hair loss, and shortens chemo-related hair loss.

research Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study

56 citations, January 2019 in “Skin appendage disorders”

The most common hair loss type at specialist clinics is androgenetic alopecia, especially in younger men, followed by alopecia areata and telogen effluvium, with differences seen across regions.

research Fibrosing Alopecia in a Pattern Distribution in 16 African-Descent and Hispanic Female Patients: A Challenging Diagnosis

13 citations, January 2019 in “Skin appendage disorders”

FAPD is a possible diagnosis for hair loss in patients of color and requires multiple evaluations for accurate diagnosis.

research Clinical Study of Fibrosing Alopecia in a Pattern Distribution in a Latin American Population

13 citations, January 2018 in “International Journal of Dermatology”

The study found that treatment improved hair condition in patients with Fibrosing Alopecia in a Pattern Distribution in Chile.

Graft Versus Host Disease Presenting as Fibrosing Alopecia in a Pattern Distribution: A Model for Pathophysiological Understanding of Cicatricial Pattern Hair Loss

research Graft Versus Host Disease Presenting as Fibrosing Alopecia in a Pattern Distribution: A Model for Pathophysiological Understanding of Cicatricial Pattern Hair Loss

9 citations, January 2018 in “International Journal of Trichology”

A woman's hair loss from graft versus host disease helps understand similar hair loss conditions.

research A New Subtype of Lichen Planopilaris Affecting Vellus Hairs and Clinically Mimicking Androgenetic Alopecia

9 citations, September 2016 in “Dermatologic Surgery”

New LPP subtype affects vellus hairs, mimics AGA, and needs biopsy for diagnosis.

research Fibrosing Alopecia in a Pattern Distribution

158 citations, February 2000 in “Archives of dermatology”

Some people with pattern hair loss may also have scalp inflammation and scarring similar to lichen planopilaris.

research Retinoids And Hair Growth

19 citations, August 1998 in “Journal of the American Academy of Dermatology”

Hair loss can signal serious health issues, not just cosmetic concerns.

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community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 828 upvotes 5 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 DUPA VS. FAPD, which is more treatable? Which is worse?

in Research/Science 8 upvotes 1 month ago

DUPA is considered more treatable than FAPD, as FAPD involves scarring that prevents hair regrowth. The user has started treatment with oral dutasteride and minoxidil, hoping for better results than previous treatments.

community Fibrosing alopecia in a pattern distribution

in Research/Science 14 upvotes 10 months ago

A user has been experiencing hair loss for 4 years, with treatments like minoxidil, finasteride, and various supplements proving ineffective. They were diagnosed with fibrosing alopecia in a pattern distribution, a condition that may require a combination of anti-inflammatory and hair growth treatments.

community scarring alopecia awareness in this community

in Chat 33 upvotes 2 years ago

Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community I’ve been on dutesteride and oral minoxidil for two years now and I’ve only lost ground… 25m What should I do?

in Treatment 33 upvotes 9 months ago

A user on dutasteride and oral minoxidil for two years has experienced worsening hair loss and an itchy scalp. Suggestions include increasing medication doses, trying other treatments like RU58841, getting a scalp biopsy, and addressing potential inflammation through diet and topical treatments.

community One year of progress (Fin, 1mg)

in Is this regrowth? 281 upvotes 2 weeks ago

The user started finasteride (1mg) a year ago for hair thinning, experiencing stabilization but not significant regrowth. Suggestions included adding minoxidil, microneedling, and considering a hair transplant for improved results.

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research Sensitive Scalp: An Epidemiologic Study in Patients with Hair Loss

1 citations, January 2022 in “Dermatology Reports”

Many people with hair loss, especially those with telogen effluvium and alopecia areata, often have a sensitive scalp.

research A 62-Year-Old Woman with Mild Hair Loss and Scalp Itching

January 2022 in “Clinical Cases in Dermatology”

A 62-year-old woman with hair loss and scalp itching was diagnosed with lichen planopilaris, treated initially with topical corticosteroids, and other possible treatments include systemic steroids, antimalarials, and more.

research Patterned Hair Loss: A 47-Year-Old Man With Symmetrical Hair Loss and Itching Diagnosed With Fibrosing Alopecia in a Pattern Distribution

January 2022 in “Clinical Cases in Dermatology”

A 47-year-old man was diagnosed with a specific type of hair loss and advised to use certain medications and avoid hair transplants.

Incidence of Cicatricial Alopecia Among New Alopecia Patients Undergoing Platelet-Rich Plasma

Patterned Hair Loss: A 47-Year-Old Man With Symmetrical Hair Loss and Itching Diagnosed With Fibrosing Alopecia in a Pattern Distribution

Research cited in this study

research Fibrosing Alopecia in a Pattern Distribution

research Off-Label Use of Topical Minoxidil in Alopecia: A Review

research Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study

research Fibrosing Alopecia in a Pattern Distribution in 16 African-Descent and Hispanic Female Patients: A Challenging Diagnosis

research Clinical Study of Fibrosing Alopecia in a Pattern Distribution in a Latin American Population

research Graft Versus Host Disease Presenting as Fibrosing Alopecia in a Pattern Distribution: A Model for Pathophysiological Understanding of Cicatricial Pattern Hair Loss

research A New Subtype of Lichen Planopilaris Affecting Vellus Hairs and Clinically Mimicking Androgenetic Alopecia

research Fibrosing Alopecia in a Pattern Distribution

research Retinoids And Hair Growth

Related Community Posts Join

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

community DUPA VS. FAPD, which is more treatable? Which is worse?

community Fibrosing alopecia in a pattern distribution

community scarring alopecia awareness in this community

community I’ve been on dutesteride and oral minoxidil for two years now and I’ve only lost ground… 25m What should I do?

community One year of progress (Fin, 1mg)

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research Patterned Hair Loss: A 47-Year-Old Man With Symmetrical Hair Loss and Itching Diagnosed With Fibrosing Alopecia in a Pattern Distribution

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research Efficacy of Systemic Minoxidil and Tofacitinib Combination in Treatment-Resistant Alopecia Universalis

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