Quality of Life in Nepalese Patients with Non-Scarring Alopecia: A Cross-Sectional Observational Study at a Tertiary Center

September 2022 in “ Nepal journal of dermatology, venereology & leprology ”

Sushil Paudel, Prajwal Pudasaini, Niraj Parajuli

non-scarring alopecia alopecia areata androgenetic alopecia Dermatology Life Quality Index hair loss first-degree relative non-scarring hair loss areata androgenic hair loss DLQI

TLDR Nepalese patients with hair loss, especially women and those with androgenetic alopecia, experience a significant decrease in quality of life.

The study "Quality of Life in Nepalese Patients with Non-Scarring Alopecia" observed 142 patients with alopecia areata and androgenetic alopecia from September 2020 to August 2021. The results showed that the quality of life was more affected in females than in males for both types of hair loss. However, patients with androgenetic alopecia experienced a greater impairment than those with alopecia areata. The mean total of Dermatology Life Quality Index score was 8.16 (±6.126), with females scoring 9.16±5.858, significantly higher than males who scored 7.37±6.258. The score for androgenetic patients (9.45±6.094) was significantly higher than that of areata patients (5.65±5.417). The study also found that the duration of the disease and hair loss in any first-degree relative significantly increased the impairment in quality of life.

View this study on nepjol.info →

Discuss this study in the Community →

Related Community Posts Join

6 / 1000+ results

community I’ve read multiple times that Fin increases hair quality… NOT for me!

in Treatment 97 upvotes 1 year ago

A user has been on finasteride for 6 months and feels their hair quality has worsened, experiencing more hair loss and scalp irritation. They are considering seeing a dermatologist, while others suggest the issue might be unrelated to finasteride, possibly due to deficiencies or other conditions.

community One+ year 1mg Fin, Ketoconazole, and 3.75 Oral Min. I have DUPA. Switched from Topical to Oral Min.

in Progress Pictures 142 upvotes 2 years ago

A user's experience with hair loss treatments such as finasteride, ketoconazole, and oral minoxidil that have not yielded any results; other users suggest shaving the head or getting a wig, while others offer additional advice such as seeing a dermatologist, checking thyroid levels, switching to dutasteride and adding needling, and trying stemoxydine.

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 3 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 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.

community Minoxidil For 2 Years, What is this?

in Treatment 111 upvotes 3 months ago

The user has experienced significant hair thinning despite using 2.5 mg minoxidil for 2 years. Other users suggest adding finasteride or dutasteride and consulting a dermatologist for a proper diagnosis.

community I’m 14 years old and I’m losing more hair than my dad. I’ve gone to the doctor 2 times because of this and I’ve received no help. I’m starting to feel like It’s worthless and my hairs gonna look like this forever. I don’t know how anyone could help me but it’s always worth a shot.

in Treatment 4 years ago

A 14 year old who is experiencing hair loss and has not received any help from the doctor, with advice being given to try different doctors, get tested for underlying conditions and intolerances, buzz it short as an option and treatments that could slow down or reverse the hair loss such as minoxidil, finasteride, RU58841 and addressing the cause of the hair loss.

Related Research

5 / 5 results

The Usefulness and Wellbeing of Tofacitinib in the Treatment of Alopecia Areata

research Alopecia Areata: Evidence-Based Treatments

71 citations, March 2009 in “Seminars in cutaneous medicine and surgery”

Alopecia areata can cause unpredictable hair loss, and treatments like corticosteroids and minoxidil may help but have varying side effects.

Quality of Life in Nepalese Patients with Non-Scarring Alopecia: A Cross-Sectional Observational Study at a Tertiary Center

Related Community Posts Join

community I’ve read multiple times that Fin increases hair quality… NOT for me!

community One+ year 1mg Fin, Ketoconazole, and 3.75 Oral Min. I have DUPA. Switched from Topical to Oral Min.

community Diffuse hair loss and scalp biopsies

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

community Minoxidil For 2 Years, What is this?

Related Research

research The Usefulness and Wellbeing of Tofacitinib in the Treatment of Alopecia Areata

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

research An Excellent Response to Tofacitinib in a Pediatric Alopecia Patient: A Case Report and Review

research Topical and Intralesional Therapies for Alopecia Areata

research Alopecia Areata: Evidence-Based Treatments