Response to the Article 'Evaluation of Standardized Scalp Photography on Patient Perception of Hair Loss Severity, Anxiety, and Treatment'

    Maria Karim, Elizabeth J. Klein, Christina Oh, Jerry Shapiro, Kristen Lo Sicco
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    TLDR Combining scalp photos with hair density and caliber measurements gives a more accurate assessment of hair loss.
    The document discusses the use of standardized scalp photography in assessing the progression of alopecia. While this technique is often the only one used due to time constraints, it has limitations due to its subjective nature and external factors such as hair color, washing, product application, and lighting conditions. These factors can lead to variability in photographs and disagreements between patients and physicians on the severity of hair loss. The authors suggest that combining scalp photography with trichologic measurements, including hair density and hair caliber, can provide a more accurate assessment of patients' therapeutic responses. These measurements are less affected by external factors and can detect changes in hair growth earlier than visible changes on scalp photographs. The authors call for further studies to correlate objective and subjective assessments of hair loss.
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