scholarly journals Female Pattern Hair Loss in Female and Male: A Quantitative Trichoscopic Analysis in Chinese Han Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Xi Chen ◽  
Xiangqian Li ◽  
Baifu Chen ◽  
Yue Yin ◽  
Jianzhong Zhang ◽  
...  

Objectives: To investigate the trichoscopic features of female pattern hair loss (FPHL) in Chinese Han patients and analyze the difference between male and female patients with FPHL.Materials and Methods: Trichoscopic images were taken in four different scalp areas, including right frontal hairline, vertex, right parietal and occipital areas. Hair density, hair shaft diameter, vellus hair ratio and single hair follicle unit ratio were counted manually and analyzed.Results: Seventy-three subjects were enrolled in this study, including 38 patients with FPHL (28 females and 10 males) and 35 normal controls without hair loss. The hair density and hair shaft diameter of FPHL patients reduced in the whole scalp. Vellus hair ratio and single hair follicle unit ratio were both increased in FPHL compared to normal controls. The vertex was the most affected area and the hair shaft diameter showed the most significant difference. Parietal and occipital area were also affected in FPHL. The reduction or increase was correlated with the severity of Ludwig staging. Very few gender differences were detected in male and female FPHL patients.Conclusion: FPHL patients showed decreased hair density and hair shaft diameter, accompanied by increased vellus hair ratio and single hair follicle unit ratio. Parietal and occipital area can be also affected in FPHL, though not as severe as in vertex area. FPHL in male basically has the same characteristic as those in female patients.Limitation: The main limitation of the study is the small sample size which only enrolled 10 male FPHL patients, in comparison to the female cases. The findings could not be representative of the normal population with the limited sample size.

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Anja Vujovic ◽  
Véronique Del Marmol

Female pattern hair loss (FPHL) is the most common hair loss disorder in women. Initial signs may develop during teenage years leading to a progressive hair loss with a characteristic pattern distribution. The condition is characterized by progressive replacement of terminal hair follicles over the frontal and vertex regions by miniaturized follicles, that leads progressively to a visible reduction in hair density. Women diagnosed with FPHL may undergo significant impairment of quality of life. FPHL diagnosis is mostly clinical. Depending on patient history and clinical evaluation, further diagnostic testing may be useful. The purpose of the paper is to review the current knowledge about epidemiology, pathogenesis, clinical manifestations, and diagnosis of FPHL.


2001 ◽  
Vol 144 (2) ◽  
pp. 297-304 ◽  
Author(s):  
M.P. Birch ◽  
J.F. Messenger ◽  
A.G. Messenger

2012 ◽  
Vol 66 (1) ◽  
pp. 166-167 ◽  
Author(s):  
Bryan Shiu Lun Lee ◽  
Jung-Yi Lisa Chan ◽  
Assaf Monselise ◽  
Kevin McElwee ◽  
Jerry Shapiro

Author(s):  
Neerja Puri ◽  
Sushma Thakur

<p class="abstract"><strong>Background:</strong> Platelet rich plasma (PRP) is a promising and novel therapy new therapy for the treatment of androgenetic alopecia. There are various growth factors in PRP which induce the proliferation of dermal papilla cells.</p><p class="abstract"><strong>Methods:</strong> We selected twenty-five cases of both male and female pattern hair loss for the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> Very good improvement was seen in 8 (32%) patients, good improvement was seen in 12 (48%) patients, average improvement, was seen in 2 (8%) and poor improvement, was seen in 3 (12%) patients. Regarding the side effects of PRP, bruising was seen in 2 (8%), pain was seen in 3 (12%). After 4 months of treatment, average hair count increased by 40% and average hair shaft diameter increased by 56%.</p><p class="abstract"><strong>Conclusions:</strong> PRP is a novel therapy, but is not an evidence-based therapy for the treatment of alopecia.</p>


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hoda Ahmed Moneib ◽  
Ghada Fathy Mohamed ◽  
Naglaa Samir Ahmed ◽  
Mahy El-Bassiouny El-Sayed Abou-Noor

Abstract Background Cellular and cell-derived components of adipose-derived tissue for the purposes of dermatologic and aesthetic rejuvenation applications have become increasingly studied and integrated into clinical practice. The hair follicle goes through phases of growth, regression, and quiescence, and it is suspected that adipocytes secrete factors to promote activation of hair follicles dermal papilla cells, increasing migration, and proliferation in vitro; as well as increasing conversion of hair follicles from the telogen to anagen phase in vivo. Objectives Evaluation of efficacy and safety of adipose-derived adult stem cells (ADSCs) injection in hair follicle regeneration in female pattern hair loss (FPHL). Methods 33 patients were included and divided into 3 groups according to Sinclair’s classification according to severity. ADSCs were extracted from lipoaspirate and injected into the frontoparietal scalp. Patients were assessed clinically, trichoscopically and immunohistochemically. Results At week 24, there was improvement of hair thickness and count, both in frontal and occipital areas. Histopathological and immunohistochemical assessment at week 12 showed decrease of perifollicular inflammation and decrease of DKK-1 immunostaining. Conclusion The use of ADSCs in treatment of FPHL in subjects included in this study showed improvement of perifollicular inflammation, in addition to density and thickness of hair.


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