Wokeness in Our Practice

    March 2025 in “ International Journal of Trichology ”
    Ralph M. Trüeb, Natalia Caballero Uribe
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    TLDR Dermatologists should address discrimination and consider ethnic and gender differences in treatments.
    The document explores the concept of "wokeness" in medical practice, focusing on the LGBTQI community and dermatology. It emphasizes the need for evidence-based medicine that considers ethnic and gender differences, particularly in conditions like androgenetic alopecia (AGA). The text reviews finasteride's effectiveness for AGA but notes potential sexual side effects, suggesting that factors like hand preference and sexual orientation might predict these effects, though this could lead to discrimination. It also examines gender-affirming hormone therapy's impact on hair growth in transgender individuals and proposes alternatives like low-dose oral minoxidil. The document advocates for increased awareness of discrimination and healthcare accessibility in medical practice.
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      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

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      by nkrata 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.

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      in Treatment  78 upvotes 2 years ago
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