Two Different Trichoscopic Patterns of Mid-Frontal Scalp in Patients with Frontal Fibrosing Alopecia and Clinical Features of Androgenetic Alopecia

    January 2017 in “ Przegla̧d dermatologiczny ”
    Adriana Rakowska, Anna Waśkiel-Burnat, Mariusz Sikora, Malgorzata Olszewska, Lidia Rudnicka
    Image of study
    TLDR Two trichoscopic patterns found in hair loss: diffuse fibrotic and androgenetic alopecia, affecting treatment choice and regrowth chances.
    The study analyzed the trichoscopic patterns of mid-frontal scalp hair loss in patients diagnosed with frontal fibrosing alopecia (FFA) and found two different patterns: the diffuse fibrotic pattern and the androgenetic alopecia pattern. The diffuse fibrotic pattern was more common and may be considered an effect of minimal fibrosis that mainly involves miniaturized hairs and results in loss of follicular units and vellus hairs. The androgenetic alopecia pattern was characterized by vellus hairs, hair shaft thickness diversity, yellow dots, an increased percentage of follicular units with one hair, and a decreased percentage of follicular units with three hairs. These two different trichoscopic patterns may affect the choice of therapy and prognosis for hair regrowth.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 393 results
      Diffuse hair loss and scalp biopsies

      community Diffuse hair loss and scalp biopsies

      in Research  692 upvotes 4 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 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 1 month ago
      The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 1 month ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

      community Testosterone and hair loss seeming irrelevance

      in Research/Science  81 upvotes 1 year ago
      The conversation is about the role of testosterone in hair loss and the effectiveness of different treatments. The conclusion is that DHT is the main culprit for hair loss, and finasteride has been proven to work long-term in maintaining and regrowing hair. Testosterone may have a minor effect, but it is not the primary cause of hair loss.

      community Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 2 weeks ago
      The user is experiencing hair loss and confusion over conflicting medical advice, with treatments including minoxidil, finasteride, and topical corticosteroids. They are unsure about the necessity of a biopsy and the timing of using minoxidil, while also considering the impact of potential androgenetic alopecia and telogen effluvium.

      community Fibrosing alopecia in a pattern distribution

      in Research/Science  14 upvotes 9 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.

    Similar Research

    5 / 1000+ results