Trichoscopy

    Özlem Dicle
    TLDR Trichoscopy helps diagnose different hair diseases effectively.
    Trichoscopy was a valuable diagnostic tool for differentiating common hair diseases by examining follicular openings, hair shafts, and perifollicular epidermis using a dermascope. It was particularly useful for diagnosing early androgenetic alopecia, distinguishing it from telogen effluvium, and differentiating between scarring and nonscarring alopecias. The article summarized the knowledge of abnormal appearances in trichoscopy and the characteristic features of prevalent hair conditions.
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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 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 1 year 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 year 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 Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 11 months 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 CTE and lots of shedding for over a year

      in Female  5 upvotes 1 year ago
      A female user has experienced severe hair shedding since stopping birth control in late 2022, diagnosed as telogen effluvium with no signs of androgenetic alopecia. Despite healthy living and optimal bloodwork, she continues to shed hair daily but also sees significant regrowth.

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      Hair and Scalp Dermatoscopy

      research Hair and Scalp Dermatoscopy

      245 citations , March 2012 in “Journal of The American Academy of Dermatology”
      Dermatoscopy is useful for identifying different hair and scalp conditions and can reduce the need for biopsies.
      Telogen Effluvium: A Review of Acute and Chronic Forms

      research Telogen Effluvium: A Review of Acute and Chronic Forms

      67 citations , January 2013 in “Indian Journal of Dermatology, Venereology and Leprology”
      Chronic Telogen Effluvium may resolve after years and is diagnosed by examining the patient's history and clinical signs, with treatment aimed at underlying causes and possibly minoxidil.
      Alopecia Areata: A Review

      research Alopecia Areata: A Review

      29 citations , June 2013 in “Journal of the Saudi Society of Dermatology & Dermatologic Surgery”
      Alopecia areata is an autoimmune hair loss condition treated with corticosteroids, and histologic confirmation is the best diagnosis method.