Non-Scarring (Non-Cicatricial) Alopecia Flashcards
Non-Scarring (Non-Cicatricial) Alopecia kinds
ANDROGENETIC ALOPECIA
TELOGEN EFFLUVIUM
ANAGEN EFFLUVIUM
ALOPECIA AREATA
ANDROGENETIC ALOPECIA patterns
male- or female-pattern alopecia
ANDROGENETIC ALOPECIA males:
fronto-temporal areas progressing to vertex, entire scalp may be bald
ANDROGENETIC ALOPECIA females:
widening of central part, “Christmas tree” pattern
ANDROGENETIC ALOPECIA
Pathophysiology
action of dihydrotestosterone (DHT) on hair follicles
ANDROGENETIC ALOPECIA Epidemiology
males: early 20s-30s
• females: 40s-50s
ANDROGENETIC ALOPECIA topical Management
minoxidil (Rogaine®) solution or foam to reduce rate of loss/partial restoration
ANDROGENETIC ALOPECIA Management females:
females: spironolactone (anti-androgenic effects), cyproterone acetate (Diane-35®)
ANDROGENETIC ALOPECIA Management in males:
Finasteride (Propecia®) (5-α-reductase inhibitor) 1 mg/d
ANDROGENETIC ALOPECIA alternative mngmt
hair transplant