Hair Loss – Friday Pop Quiz 10/13/2023
A healthy 50-year-old patient presents with three-month history of progressive hair loss and scalp redness with associated pruritus. On closer scalp examination, there is perifollicular erythema, inflammation, and scaling. There appears to be loss of follicular openings in the erythematous patch. In addition, erythematous and skin-colored papules are present throughout the forehead. Of note, t …
A healthy 50-year-old patient presents with three-month history of progressive hair loss and scalp redness with associated pruritus. On closer scalp examination, there is perifollicular erythema, inflammation, and scaling. There appears to be loss of follicular openings in the erythematous patch. In addition, erythematous and skin-colored papules are present throughout the forehead. Of note, t … 
Trichoscopy is a handy dermoscopic tool that can be used at the bedside to diagnose multiple hair diseases. However, these hair diseases may be challenging to diagnose by the untrained eye. Fortunately, we had the opportunity to train these skills at ODAC 2023 with hair expert and dermatologist Dr. Amy McMichael, Professor of Dermatology at Wake Forest University. We will review the essentials of … 
Androgenic alopecia (AGA) is one of the most common forms of hair loss and represents a frequently faced disabling concern in dermatology visits. Targeting the 5α-dihydrotestosterone (DHT) pathway has been shown to be an efficacious mechanism of action, with finasteride being the only systemic FDA-approved drug to treat male AGA. Recently, its sister drug, dutasteride, has been increasingly utili … 
INSIDER recently posted an article on oral minoxidil for hair loss as a result of media coverage in The New York Times. Which hair loss patients make good candidates for oral minoxidil? How should a dermatologist determine the best dosage for their patients?
For expert advice, I reached out to Shilpi Khetarpal, MD, FAAD, director of cosmetic dermatology and lasers at the Cleveland Clinic.
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Before concluding a patient with thinning edges has traction or androgenic alopecia, take a closer look at the scalp, face, and other hair bearing areas of the body to complete the picture. You might be missing signs and symptoms of Frontal Fibrosing Alopecia. As seen in the images, FFA can have various presentation patterns on different skin tones and hair textures.
Frontal Fibrosing Alopecia … 