Trichoscopy as an Essential Diagnostic Technique for Hair and Scalp Disorders in Skin of Color: A Case-Control Study

    July 2021 in “ Indian journal of dermatopathology and diagnostic dermatology ”
    YasmeenJabeen Bhat, FaizanYounus Shah, Najm-u Saqib, AaqibAslam Shah, Insha Latif, Sumaya Zeerak, UzairKhurshid Dar, Yaqzata Bashir, Iffat Hassan, ShaguftaP Rather
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    TLDR Trichoscopy is a reliable method for diagnosing hair and scalp disorders quickly and non-invasively.
    From 2015 to 2019, a case-control study involving 605 patients was conducted to assess the effectiveness of trichoscopy in diagnosing hair and scalp disorders. The study found that trichoscopy, a non-invasive diagnostic technique, was effective in identifying features of different types of alopecia and scalp disorders. For instance, in diffuse alopecia areata, common findings included black dots, yellow dots, broken hair, and vellus hairs. In androgenetic alopecia, hair diameter variability of ≥20% was the most common finding. The study also identified 35 distinctive trichoscopic features significant in diagnosing localized and diffuse alopecias. The study concluded that trichoscopy is a reliable tool for quick and non-invasive assessment of the scalp, which can guide therapy and management.
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      Diffuse hair loss and scalp biopsies

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      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 I bought a microscope, how does my scalp/hairs look? I've been suffering diffuse thinning and hair loss after covid and never recovered (2 yrs ago) I eat healthy, in shape and workout.

      in Progress Pictures  86 upvotes 9 months ago
      A person with hair loss since COVID-19 is considering treatments like finasteride and minoxidil but is hesitant due to potential side effects. Suggestions include visiting a dermatologist, using a ketoconazole shampoo, and considering that post-COVID hair loss might be an autoimmune response.

      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 2.5 years Minoxidil and HRT, CPA->Lupron +Minox 5%

      in Transgender  611 upvotes 1 month ago
      The user experienced significant hair regrowth after 2.5 years of using Minoxidil 5% and hormone replacement therapy (HRT) with Lupron, despite initial scalp irritation. Finasteride was ineffective for them.

      community My experience and a discourse on “DUPA”

      in Chat  46 upvotes 2 years ago
      How diffuse unpatterned alopecia (DUPA) is not an invitation to self-diagnose oneself with aggressive AGA and that seeking a specialized dermatologist may help people experiencing hair loss. Treatment options discussed include topical clobetasol propionate, oral minoxidil, and discontinuing finasteride.

      community Seeking Advice: Unusual Hair Loss at 31 Years Old - Any Insights? (M)

      in Chat  15 upvotes 8 months ago
      A 31-year-old man who previously had good results with minoxidil, finasteride, and nizoral for hair loss is now experiencing unusual hair loss and side effects from finasteride. Respondents suggest it might be severe retrograde alopecia and recommend exploring other treatment options due to his inability to tolerate finasteride.

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