Trichoscopy II: Cicatricial Alopecia

    March 2021 in “ CRC Press eBooks ”
    Bruna Duque‐Estrada, Rodrigo Pirmez
    Image of study
    TLDR Trichoscopy helps tell apart Lichen planopilaris and Frontal fibrosing alopecia from other hair loss conditions.
    The document discusses trichoscopy of primary cicatricial alopecias, focusing on Lichen planopilaris (LPP) and Frontal fibrosing alopecia (FFA). LPP, a follicular form of lichen planus, mainly affects adults and can cause patchy or diffuse hair loss. Its inflammatory process is folliculocentric, with disease activity signs showing a follicular or perifollicular pattern on the scalp. A unique feature of LPP is the formation of tubular structures, or hair casts, where scaling embraces hair follicles. FFA primarily affects postmenopausal women, characterized by a progressive band of alopecia on the frontal/frontotemporal scalp. Trichoscopy is crucial in differentiating FFA from other hair disorders like alopecia areata, traction alopecia, and androgenetic alopecia. Disease activity signs in FFA are similar to LPP, including perifollicular erythema and scaling.
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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  830 upvotes 1 year 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 Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 1 year 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 13 days on Ru58841 hair trichoscopy

      in Update  17 upvotes 10 months ago
      The user noticed potential hair growth after 13 days of using RU58841, alongside a regimen of oral minoxidil, finasteride, and topical minoxidil. Others think it's too soon to see results, and some are surprised by the high dosage of oral minoxidil.

      community Predicting Your Hair Loss with a Trichoscopy Report

      in Treatment  7 upvotes 1 year ago
      The conversation discusses the use of trichoscopy to predict hair loss patterns and inform treatment approaches. Treatments mentioned include minoxidil, finasteride, and dutasteride, with varying effectiveness based on gender-specific hair loss patterns.

      community 21m, 2.5 months on 1mg dut & 2.5mg min

      in Progress Pictures  10 upvotes 3 months ago
      A 21-year-old male has been using dutasteride, minoxidil, ketoconazole shampoo, and microneedling for hair loss, with plans to increase minoxidil dosage. He is experiencing no side effects and is planning a trichoscopy to assess hair regrowth.

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