Goals Lupus erythematosus is the major systemic disease which causes this type of hair loss. Facticial alopecia and trichotillomania are very difficult to distinguish from other entities because of their psychological components. When generalized inflammatory conditions start out, they may just affect localized areas. For the most part, however localized scarring alopecia is due to physical, chemical or traumatic causes. Goals Most of the diseases in this category can be easily diagnosed unless the woman is trying to hide some information.
Specific diagnosis determines the therapy so that is the major goal.
These physical areas would include the upper lip, sideburns, tip of the nose, chin, earlobes, upper pubic triangle, trunk and limbs. An adrenal source of excess androgen is less common than an ovarian source but it should be checked for. Once an adrenal source of excess androgen is determine, the primary goal is to first rule out a malignant or benign tumor of the adrenal gland. These physical areas would include the upper lip, sideburns, tip of the nose, chin, earlobes, upper pubic triangle, trunk and limbs. Serum testosterone levels are usually drawn as a marker for increased ovarian androgens.