Guidelines for the diagnosis and treatment of male-pattern and female-pattern hair loss, 2017 version

Background: Female pattern hair loss (FPHL) is a common cause of hair loss in women characterized by a diffuse reduction in hair density over the crown and frontal scalp with retention of the frontal hairline. The underlying pathophysiology is multifactorial. There are no universally agreed treatment guidelines available. The objective of the study was to understand the diagnosis and treatment pattern of female pattern hair loss and the role of minoxidil topical formulation and its combination in the management of FPHL.Methods: Predesigned questionnaire on FPHL was prepared based on review of literature and was filled by 80 consultant dermatologists. Recorded data was statistically analyzed.Results: Common age of onset of FPHL was between 20 to 30 years. Majority (96.25%) have reported FPHL in association with psychological morbidity. The most preferred treatment in mild and severe FPHL was minoxidil 5% and platelet rich plasma (PRP) plus minoxidil respectively. Most dermatologists (47.5%) treated with minoxidil for over 6 months. Majority (27.5%) reported flaking as the most common side effect with minoxidil followed by dryness, scalp irritation and itching. Majority (27.5%) observed that long treatment duration was contributing to non-compliance followed by medication cost and side effects. Majority of the dermatologists (90%) felt the need for treatment guidelines in the current Indian scenario.Conclusions: Minoxidil was the most common preferred treatment for mild and severe FPHL. PRP is the most common choice of combination therapy with minoxidil. Minimizing side effects, patient education and universal treatment guidelines can help manage FPHL better.

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Hair loss: a clinical update

Journal of Aesthetic Nursing ◽

10.12968/joan.2019.8.9.422 ◽

2019 ◽

Vol 8 (9) ◽

pp. 422-429

Author(s):

Lucy Millar-Hume ◽

Farah Ali

Keyword(s):

Hair Loss ◽

Androgenic Alopecia ◽

Levels Of Evidence ◽

Female Pattern Hair Loss ◽

Male Pattern

Hair loss is classified into non-scarring and scarring alopecias, the latter being further subdivided into primary and secondary forms. These classifications are also referred to as non-cicatricial and cicatricial hair loss. This article focuses on androgenic alopecia (AGA) and will, at times, be referred to as male pattern hair loss (MPHL) or female pattern hair loss (FPHL). Essentially, AGA is a non-scarring, benign form of alopecia, generally related to ageing and where, on the whole, a proportion of hair can grow back. Aestheticians should be prepared to answer a patient's questions and concerns and be familiar with the current levels of evidence surrounding the myriad of treatments available.

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An update on diagnosis and treatment of female pattern hair loss

Expert Review of Dermatology ◽

10.1586/17469872.2013.814858 ◽

2013 ◽

Vol 8 (4) ◽

pp. 427-436 ◽

Cited By ~ 4

Author(s):

Thamer Mubki ◽

Omar Shamsaldeen ◽

Kevin J McElwee ◽

Jerry Shapiro

Keyword(s):

Hair Loss ◽

Diagnosis And Treatment ◽

Female Pattern Hair Loss

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Investigation of the male pattern baldness major genetic susceptibility loci AR/EDA2R and 20p11 in female pattern hair loss

British Journal of Dermatology ◽

10.1111/j.1365-2133.2012.10877.x ◽

2012 ◽

Vol 166 (6) ◽

pp. 1314-1318 ◽

Cited By ~ 26

Author(s):

S. Redler ◽

F.F. Brockschmidt ◽

R. Tazi-Ahnini ◽

D. Drichel ◽

M.P. Birch ◽

...

Keyword(s):

Genetic Susceptibility ◽

Hair Loss ◽

Susceptibility Loci ◽

Male Pattern Baldness ◽

Female Pattern Hair Loss ◽

Male Pattern

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Epidemiological profile of patients presenting to dermatology department of a tertiary care hospital during nationwide lockdown due to COVID-19: a retrospective study from north India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20210421 ◽

2021 ◽

Vol 9 (2) ◽

pp. 443

Author(s):

Faizan Younus Shah ◽

Irfan Tasaduq ◽

Yaqzata Bashir ◽

Ifrah Shafat Kitab ◽

Aaqib Aslam Shah ◽

...

Keyword(s):

Herpes Zoster ◽

Hair Loss ◽

Seborrheic Dermatitis ◽

Tertiary Care ◽

P Value ◽

Care Hospital ◽

Dermatology Department ◽

Female Pattern Hair Loss ◽

Number Of Patients ◽

Male Pattern

Background: The COVID-19 pandemic has seen an unprecedented lockdown with restrictions on human movement and interaction, imposed throughout the world to contain the spread of the disease. This gave us the unique opportunity to study the pattern of patients presenting to the dermatology out-patient department during this period.Methods: The study was a retrospective observational study involving the assessment of patient records from 25th March 2020 to 7th June 2020. This period corresponds to the duration of strictly imposed nationwide lockdown which was relaxed with phased resumption from 8th June 2020, termed as unlock 1.Results: A decrease in the absolute as well as proportional number of patients was seen in majority of the cases with a statistically significant proportional decline being seen in cases of allergic contact dermatitis (p-value =0.007), acne (p value <0.001), male pattern hair loss (p value <0.001) and female pattern hair loss (p value <0.001), verrucae (p value=0.01), seborrheic dermatitis (p value <0.001), ephelids (p value <0.001), melasma (p value<0.001), post-inflammatory hyperpigmentation (p value=0.006). However, there were certain disorders whose proportionate representation increased significantly during the lockdown period contrary to prevalent belief. These disorders included urticaria (p value <0.001), herpes zoster (p value <0.001), scabies (p value =0.01), generalized pruritus (p value <0.001) and prurigo (p value <0.001).Conclusions: Disorders like acne, male pattern hair loss, female pattern hair loss, verrucae, seborrheic dermatitis, ephelids, melasma and post-inflammatory hyperpigmentation which do not cause significant morbidity showed a significant decrease in proportional representation. The proportionate representation of disorders like urticaria, herpes zoster, scabies, generalized pruritus and prurigo increased significantly during the lockdown period.

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Is Every Patient of Hair Loss a Candidate for Hair Transplant?—Deciding Surgical Candidacy in Pattern Hair Loss

Indian Journal of Plastic Surgery ◽

10.1055/s-0041-1739247 ◽

2021 ◽

Author(s):

Robert H. True

Keyword(s):

Hair Loss ◽

Body Dysmorphic Disorder ◽

Young Patients ◽

Androgenic Alopecia ◽

Hair Transplantation ◽

Detailed History ◽

Hair Transplant ◽

Female Pattern Hair Loss ◽

Unrealistic Expectations ◽

Male Pattern

AbstractPatterned hair loss which includes both male pattern hair loss (MPHL) or androgenic alopecia (AGA) and female pattern hair loss (FPHL) is the most common indication for hair transplant surgery. However, not all such patients are candidates for hair transplants. There are eight conditions that cause patients to not be appropriate candidates. These are: diffuse unpatterned alopecia (DUPA), cicatricial alopecia (CA), patients with unstable hair loss, patients with insufficient hair loss, very young patients, patients with unrealistic expectations, patients with psychologic disorders such as body dysmorphic disorder (BDD) and trichotillomania, and patients who are medically unfit. In addition, there are patients who are poor candidates and who should undergo hair transplantation only if they understand and accept limited results. The key to identifying these patients involves performing careful and detailed history and examination at the time of consultation.

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