Can androgenetic alopecia be misdiagnosed?

Most dermatologists are comfortable with diagnosing androgenic alopecia which at advanced stages is amenable for transplantation. However, other scarring and non-scarring hair loss conditions may mimic androgenic alopecia and be misdiagnosed and managed as androgenic alopecia.

Can alopecia be misdiagnosed?

Misdiagnosis of alopecia areata occurs very commonly due to the common clini- cal presentation between this disease and other diffuse alopecia types such as telo- gen effluvium and androgenic alopecia (Zhao et al. 2012).

How can you tell the difference between androgenetic alopecia and telogen effluvium?

True androgenetic alopecia has less density on the top middle and front of the scalp compared to the back of the scalp. … In telogen effluvium, the density is reduced equally all over the scalp.

Does androgenetic alopecia happen suddenly?

Alopecia occurs for many different reasons and presents in various ways. It can occur suddenly or develop gradually over time. Sudden-onset causes include illness, diet, medications, and childbirth. Alopecia that has a gradual onset more likely has a genetic component.

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How fast does androgenetic alopecia progress?

FPHL can affect women in any age group, but it occurs more commonly after menopause. The hair loss process is not constant and usually occurs in fits and bursts. It is not uncommon to have accelerated phases of hair loss for 3–6 months, followed by periods of stability lasting 6–18 months.

Can a scalp biopsy be wrong?

As we have seen in the post, reliable biopsies are actual fairly reliable. One can distinguish easily scarring from non scarring and determine of androgenetic alopecia is present much of the time if horizontal sections are used.

How do you know if your hair follicles are closed?

When hair follicles die, however, hair growth stops completely. To know if your hair follicles are still active, just take a look at the scalp on your head. If you see any hairs on your scalp—no matter how sparse, thin, short or fuzzy—your hair follicles are still alive and kicking and sprouting new hairs.

Can hair grow back with androgenetic alopecia?

Because the hair loss in androgenetic alopecia is an aberration of the normal hair cycle, it is theoretically reversible. Advanced androgenetic alopecia, however, may not respond to treatment, because the inflammation that surrounds the bulge area of the follicle may irreparably damage the follicular stem cell.

Can your hair grow back if you have androgenetic alopecia?

If androgenetic alopecia is the culprit, you won’t achieve full regrowth, but you can effect improvement with one of the following treatments: Minoxidil: (brand name: Rogaine). The only FDA-approved medication for female hair loss. Applied topically, minoxidil prolongs the hair’s growth phase.

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What does telogen hair look like?

If the doctor gently tugs on some hairs on your scalp and four or more hairs come out, you probably have telogen effluvium. Also, the hairs will look like hairs in the telogen phase — they will have a white bulb at the end that was in the scalp, and will not have a gel-like covering around that end of the hair.

Can androgenic alopecia be stopped?

No, there is no cure for androgenetic alopecia. However, the progression of this condition in both men and women tends to be very slow, spanning several years to decades.

Can onion juice cure androgenetic alopecia?

03/5​How onion juice works on hair loss

Since ages, onion juice have been used an active ingredient in treating hair loss. Not only does it help in regrowth of lost hair but at the same time can effectively treat several hair disorders like alopecia, dandruff, scalp infection, cures prematurely graying to name a few.

Are baby hairs a sign of regrowth?

“Without a trained eye or a microscope, it’s difficult to differentiate between short hairs that are broken and short hairs that are growing in,” says Sadick. … Sure, those baby hairs could be new growth, but it’s more likely that they’re the sad, broken result of pulling your hair back.

What helps androgenetic alopecia?

Androgens include testosterone and other “male” hormones, which can accelerate hair loss in women. Some women who don’t respond to minoxidil may benefit from the addition of the anti-androgen drug spironolactone (Aldactone) for treatment of androgenic alopecia.

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Does biotin help androgenic alopecia?

Interestingly, alopecia resulting from valproic acid administration in rats, likely due to biotin deficiency, was shown to reverse with biotin supplementation. Biotin administration in children who had experienced alopecia after valproic acid treatment also produced a beneficial effect.

How fast does alopecia progress?

People with alopecia areata typically have smooth, round patches of complete hair loss that develop over a period of a few weeks, followed in most cases by regrowth over several months (picture 1).

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