Review on Alopecia: Disease and Characteristics, Clinical Evaluation, Psychological Impact, and Available Treatment Options

    Shumaila Sheikh, Sadaf Ibrahim, Uzma Shahid, Noorulain Pirzada, Abid Khan, Omer Ahmed Shaikh, Mirza Tasawer Baig, Ayaz Ali Khan
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    TLDR Alopecia causes patchy hair loss and can be diagnosed with new techniques; treatments like strong creams and contact immunotherapy can help.
    Alopecia Areata (AA) is a common, recurring autoimmune disease that causes patchy hair loss on the scalp and/or body, affecting individuals of all ages, skin types, and both genders. The development of new diagnostic procedures is necessary, with scalp dermatoscopy emerging as a promising technique for diagnosing difficult-to-identify scalp and hair diseases. In terms of treatment, high-potency topical corticosteroids such as 0.05% clobetasol propionate or 0.25% desoximetasone cream are often used in adults, with response rates of approximately 47% and 60% respectively. Contact immunotherapy (CI therapy) can also be beneficial for individuals with stable conditions, and can be safely and effectively administered at home or in a clinic setting.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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

      in Research  827 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 Fuck hair loss; acquire beard.

      in Shaved/buzzed  934 upvotes 2 years ago
      A user's transformation from an accountant to a spartan with a full beard, discussing the potential of DUPA and alopecia areata, as well as treatments like vitamins, topicals, and natural treatments for potential regrowth.

      community Rare Non responder to Finasteride, Dutasteride, and oral minoxidil

      in Minoxidil  78 upvotes 10 months ago
      A user did not respond to finasteride, dutasteride, and oral minoxidil for hair loss after four years of treatment and is considering scalp micropigmentation (SMP). Other users suggest the hair loss pattern may indicate alopecia areata and recommend seeing a dermatologist.

      community Not everyone should immediately go on Fin if they are starting to bald

      in Finasteride/Dutasteride  21 upvotes 1 year ago
      The conversation suggests that people should consult a dermatologist to understand their type of hair loss before starting treatments like finasteride or dutasteride, especially if they have autoimmune issues or low DHT. Some participants believe in starting treatment like finasteride immediately if hair loss is due to DHT, while others recommend ruling out other causes and considering minoxidil first, especially for younger individuals.

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