American Hair Loss Association - Hair Loss Glossary Hair Loss Glossary Hair Loss Glossary > Hair Loss Glossary A Aldactone: Brand name for spirolactone, a prescription high blood pressure medication that is also prescribed to treat women's hair loss. Alopecia : Loss of hair as a result of illness, functional disorder, or hereditary disposition. The medical term for hair loss. Alopecia Areata: A disease that causes the body to form antibodies against some hair follicles. It can result from such factors as stress, genetics and the immune system. Alopecia Areata causes sudden smooth, circular patches of hair loss. Alopecia Totalis: A condition that results in no hair on the scalp. It may begin as Alopecia Areata or some other cause. Alopecia Universalis: A condition that results in no hair on any part of the body, this includes eyelashes, eyebrows, and scalp hair. It may develop as alopecia areata or result from another cause Amino Acids: The building blocks of protein. A deficiency of amino acids may adversely affect hair growth. Amortization: The process of converting one enzyme to another, such as Testosterone to Dihydrotestosterone.

Anagen: The growing phase of hair, usually lasting between one and seven years. Anagen Effluvium: Loss of hair that is supposed to be in the anagen or growing phase. This is the type of hair loss that is associated with chemotherapy or radiation treatment. Androgen: general term referring to any male hormone. The major androgen is testosterone. Androgenetic Alopecia: Hair loss resulting from a genetic predisposition to effects of DHT on the hair follicles. Also termed female pattern baldness and male pattern baldness, male pattern baldness, hereditary alopecia and common baldness. Anterior: Front Antiandrogen: An agent that blocks the action of androgens by preventing their attachment to receptor cells, interfering with their metabolism, or decreasing their production in the body. Aromatase: An enzyme (actually an enzyme complex) involved in the production of estrogen that acts by catalyzing the conversion of testosterone (an androgen) to estradiol (an estrogen). Aromatase is located in estrogen-producing cells in the adrenal glands, ovaries, placenta, testicles, adipose (fat) tissue, and brain.

Autograft: A graft taken from your own body Azelaic Acid - Azelaic acid like Retin-A is more commonly used in the treatment of acne and other skin conditions. It inhibits the activity of the enzyme 5 alpha-reductase, involved in the conversion of testosterone to DHT . Benign Prostate Hyperplasia (BPH): A noncancerous condition related to aging in men whereby the prostate gland swells, usually to a size that reduces the urine flow and prevents the bladder from emptying completely, causing frequent and difficult urination. Biopsy: Piece of tissue cut out for microscopic examination Bonding: A term used to describe the simple act of gluing a hairpiece onto the scalp. C Catagen: The intermittent stage between the growing ( anagen ) and resting ( telogen ) phases of the hair's growth cycle. Chemotherapy: chemical treatment, usually of cancers, using drugs that have high levels of toxicity, frequently causing temporary alopecia universalis. Club Hair: A hair that has stopped growing or is no longer in the anagen phase. It is anchored to the skin with its "club-like" root, but will eventually be pushed out and replaced by a growing hair.

Cobblestoning: "Plugs" that have not healed flush with the skin and therefore have left the scalp lumpy." Plugs" seldom heal flush with the skin. Cobblestoning occurs in almost all "plug" procedures. Cortex: The layer of the hair shaft that surrounds the medulla and is filled with keratin fibers. The main structural part of the hair fiber that accounts for most of its size and strength. Crown: The highest part of the head Cuticle: The outer surface of hair, composed of overlapping scales made of colorless keratin protein. It gives hair luster and shine and also provides some of its strength. D Dermal Papilla: The dermal papilla is situated at the base of the hair follicle. The dermal papilla contains nerves and blood vessels, which supply glucose for energy and amino acids to make keratin. This structure is extremely important in the regulation of hair growth since it has receptors for both androgens and hair-promoting agents. Dermis: one of the two layers of cells that form skin. Specifically, it is the innermost layer. Diazoxide: A drug that dilates blood vessels by opening potassium channels and also promotes hair growth.

Dihydrotestosterone (DHT): is a male hormone that is suggested to be the main cause for the miniaturisation of the hair follicle and for hair loss. DHT is formed when the male hormone testosterone interacts with the enzyme 5-alpha reductase. Donor Site: Area where pieces of hair-bearing skin are taken from during a hair transplant. Double Blind Study: A scientific study where neither the subjects nor the researchers know who specifically is receiving the drug of treatment under study. Dutasteride: A 5-alpha-reductase inhibitor medication by GlaxoSmithKline. Dutasteride inhibits both type-I and type-II 5-alpha reductase. Epidermis: The outer protective, nonvascular layer of the skin Estrogen: The female hormone secreted primarily by the ovaries. Female Pattern Baldness (FPB): Progressive thinning of hair throughout the entire head caused by genes, age and hormones. It usually develops at a much slower rate than male pattern baldness. 5-Alpha-Reductase: The chemical that is responsible for transforming testosterone into dihydrotestosterone.

5-Alpha-Reductase Inhibitors : Prevent the body from converting testosterone to DHT by blocking the action of the enzyme 5-alpha reductase. Finasteride: The generic name of the brand name drug Proscar. Proscar is manufactured by Merck and is FDA approved for the treatment of benign prostate enlargement. 1mg tablets of finasteride have been marketed under the brand name Propecia as a treatment for hair loss. It is an antiandrogen that blocks the formation of dihydrotestosterone by inhibiting the enzyme 5 alpha-reductase. Flap: A type of hair replacement surgery in which a piece of hair bearing scalp is cut on three or four sides and transplanted onto bald areas of the scalp. Follicle: A saclike structure just below the surface of your scalp. The sheath within which hair grows. Follicular Unit: Natural groupings of hair that grow together as a group in the scalp and share the same blood supply. Follicular Unit Extraction (FUE): Modification of the standard follicular unit transplant where follicular units are removed individually from the donor area.

Follicular Unit Transplantation: An advanced form of hair transplantation in which the surgeon harvests hair in naturally occurring follicular units and grafts them to balding sections of the scalp. Free Flap: A surgical procedure in which a wide strip of scalp from the side/back of the head is excised and then transferred to the frontal area of the scalp to form a hairline. Frontal Alopecia : Hair loss at the front of the head G Gene Therapy : Is a treatment method that involves the manipulation of an individual's genetic makeup. A form of therapy that attempts to fix the defective gene which is causing the disease. Genetic: pertaining to genes or any of their effects. A gene is the smallest physical piece of heredity. It determines what features we will pass on to our children as well as which ones we have gained from our biological parents. Grafting: A variety of procedures describing the removal of hair bearing scalp from the back of the head to a recipient site. The most widely used types of grafting are slit grafts, micrografting and minigrafting (All outdated).

Grafts: Transplanted hair H Hairliftï¿½: Surgical procedure used to eliminate large areas of bald scalp by lifting and advancing the entire hair-bearing scalp in an upward and forward direction (considered to be a barbaric procedure by most ethical physicians). Hair Cloning: Currently not available, but cloning hair may make it possible for you to have an unlimited crop of donor hair for a hair transplant. Hair Integration : see hair weaving. Hair Intensification: see hair weaving. Hair Matrix: Region where hair and the structures that compose it ( cortex , cuticle and medulla ) are made. Hair Multiplication: Currently not available, same theory as hair cloning, individual hair strands will be multiplied or duplicated to create more available donor area for transplantation. Hair Shaft: Filament projecting from the epidermis that provides protection and warmth (Hair). Hair Weaving : A process by which a hair piece (synthetic or human hair) is attached to existing hair on scalp through braiding or another interweaving process. Hamilton Scale: method proposed by Hamilton to rate hair loss. Hirsutism: Excessive growth of hair of normal or abnormal distribution Hormonal: Pertaining to hormones.

Hormones are chemical messengers that are usually carried by the bloodstream. They exert their effects on specific target organs. Hypertrichosis: Excessive growth of hair all over the body. Hypothyroid: Deficiency of thyroid hormone which is normally made by the thyroid gland which is located in the front of the neck. Hypothyroidism can result in hair loss. Inflammatory: pertaining to inflammation. Inflammation is the process whereby the body reacts to injury or abnormal stimulants. Infundibulum: the superior, or highest portion, of the hair follicle. Inhibitory Protein: protein found in healthy scalps (without hair loss) that appears to inhibit the binding of dihydrotestosterone to its receptor. This protein appears to be absent in androgenetic alopecia. Intermediate Hairs: hairs which demonstrate characteristic between vellus and terminal hairs. They contain a moderate amount of pigment and are medullated. Isthmus: the middle region of the hair follicle which usually contans the sebaceous gland. Juri Flap: Surgical procedure during which a large section of hair bearing scalp is taken from the side of the scalp and rotated 180 degrees to the front, forming a hairline.

Keratin: A tough, fibrous, insoluble protein forming hair and finger nails. Ketoconazole: An antifungal agent that has antiandrogenetic properties. Active ingredient in the shampoo Nizoral. Lanugo Hair: The downy hair on the body of the fetus and newborn baby. Resembles vellus hair, soft and unpigmented. Linear Graft: A row of hair and skin that is transplanted onto bald regions (outdated). M Male Pattern Baldness (MPB): The most common type of hair loss that is caused by hormones, genes and age, and is usually progressive in nature. It affects the central and frontal area of the scalp and often results in a pronounced U-Shape configuration. Medulla: A central zone of cells present only in large, thick hairs. Melanin : Pigmenting granules within the keratin fibers of the hair shaft that determine hair color. They usually decrease with age, resulting in gray or white hair. Melanocyte : A specialized cell containing pigment (melanin), which determines hair color. Menopause : The permanent cessation of menstruation and estrogen secretion from a woman's ovaries.

Merck & Co., Inc.: the manufacturer of Proscar and Propecia (finasteride). Micrograft : A very small hair graft consisting of one or two hairs. Midline : Region towards the middle of the scalp Miniaturization : The destructive process by which DHT shinks hair follicles, key marker of androgenetic alopecia. Minigraft : A small hair graft consisting of three to eight follicles each. Minoxidil : A prescription medication taken orally for the treatment of high blood pressure and used topically to retard hair loss and/ or encourage hair growth. Generic name for Rogaine . Nonscarring Alopecia: A broad category of different types of hair loss, including androgenetic alopecia. The hair follicle remains intact, thus increasing the likelihood that hair loss can be reversed. Norwood Scale : a scale for the classification of hair loss P Papilla : The small root area at the base of hair, which receives the nutrients from the follicle needed for hair growth. Placebo : a pill, topical, or injection made to appear exactly like a test medication, but without any of its active ingredients.

Polysorbate 80 : an emulsifying agent that has been marketed extensively by "private" companies as a hair growth promoting agent. Postauricular Flap : Surgical procedure during which a strip of hair-bearing scalp is taken from the area behind the ear and is rotated 90 degrees to the front, forming a hairline. Posterior Scalp: Back of the head. Preauricular Flap : Surgical procedure during which a strip of hair-bearing scalp is taken from the temple area and is rotated about 90 degrees to the front, forming a hairline. Progesterone: Female sex hormone that induces secretory changes in the lining of the uterus essential for successful implantation of a fertilized egg. Synthetic compounds with progesterone like activity have been developed that, along with estrogen , are used in oral contraceptives. Propecia : The brand name for 1mg dose of finasteride , approved for the prevention and treatment of male pattern baldness. Proscar : finasteride as an FDA approved treatment for BPH . Prosthetic : An artificial replacement Punch Graft: A group of ten to twenty hairs in a circular graft. Recipient Site : Bald area which hair grafts are transplanted.

Rejection : Tissue not accepted by the body and which, therefore dies Retin-A: A brand name for a prescription acne medication. Has in some cases shown to be effective against hair loss, particularly when combined with minoxidil, however, can cause extreme scalp irritation that can make hair loss worse. Retroauricular Area: Area behind the ear Rogaine: The brand name for minoxidil topical hair growth solution, available over the counter in 2% solution and 5% extra strength solution. Rotational Flap: A surgical procedure which involves lifting a three-sided area of hair-bearing scalp and pivoting it 90 to 180 degrees into the balding area. S Saw Palmetto: A natural herb that has been shown to be an effective antiandrogen Scalp Reduction: Surgical procedure in which an ellipse of bald scalp is removed from a small midline bald spot and the hair-bearing scalp between the ears is pulled together and sutured closed. This reduces the bald area. Scarring Alopecia: Patchy hair loss with obvious sign of scalp inflammation. Scleroderma : A disease of the skin and connective tissue that can cause hair loss over the affected areas.

Sebaceous Glands: Fatty glands found in hair follicles throughout the body that secrete an oil into the hair and surrounding skin. Seborrheic Dermatitis : A condition marked by small discolored patches or spots on the skin and frequently occurs on the face and scalp. Sebum: An oily secretion manufactured by tiny sebaceous glands near the follicles that keeps your hair lubricated and shiny. Senescent Alopecia: the type of hair loss that naturally occurs with age. During the process of aging, both the duration of hair growth and the diameter of the hair follicle decrease. Shock Fallout: The condition that occurs when hair transplantation is performed on men with a significant amount of naturally occurring hair left on their head. Trauma due to the procedure itself induces a telogen phase for much of the hair around the implanted grafts. Hair lost due to shock fallout returns in some cases. Slit Graft: A graft of three to four hairs inserted into a slit rather than a round hole. SOD: Also known as Superoxide Dismutase, are enzymes which destroy superoxide free radicals and prevent the cellular damage that free radicals cause. Researchers have discovered that SODases also stimulate hair growth and decrease hair loss.

Sprionolactone: A diuretic drug that acts as an antiandrogen. Used in the treatment of androgen related disorders such as female pattern baldness and hirsuitism . Brand name is Aldactone. Stretch Back: A condition that occurs after a scalp reduction procedure due to the elastic characteristic of the skin. The bald area that could not be eliminated totally during a scalp reduction, increases in width three months after the procedure, thus reducing the procedure's effectiveness. Suture: Stitch. Suture Implants: A method of attaching a hairpiece that involves sewing stitches in the scalp and securing the hairpiece to them. Systemic Side Effects: undesirable effects produced throughout the body. For example, some antiandrogens will cause decreased sex drive and breast enlargement in men. T Telogen: The resting phase of the hair cycle which usually lasts approximately three months. Telogen Effluvium: The second most common form of hair loss (androgenetic alopecia is the first). A condition that causes an increased number of hairs to enter the telogen, or resting phase. The additional shedding usually occurs in response to various stresses such as emotional trauma, post-pregnancy and illness, major surgery, certain medications.

Telogen effluvium can be delayed (occurring a few months after the stressful incident) or chronic (unresolved). Telogen Loss: Loss of hair during resting phase of hair or "natural" loss Temporal Recession: Hair loss in the temple region Terminal Hair: The coarser, pigmented hair that appears on the scalp, face, armpits, and pubic areas. Testosterone: The male hormone which is released by both the adrenal gland and the testicles, promotes the development of male characteristics. Theory of Donor Dominance: Scientific basis for hair transplantation stating that hair's genetic code resides within the hair follicle and not in the recipient site into which it is transplanted. Tinea Capitis: Any of a number of contagious skin diseases caused by several related fungi, characterized by ring-shaped, scaly, itching patches on the skin. Tissue Expansion: A method used to increase the effectiveness of surgical hair restoration. A balloon-like device is inserted under the scalp several weeks before the procedure and is gradually inflated weekly with saline. Topically: directly applied on the skin Traction Alopecia: This refers to hair loss which occurs do to traction placed on hair.

Traction alopecia is commonly seen with braids, pony tails and other hairstyles which create traction on the scalp. Tretinoin: The generic term for the medication Retin-A, which is most commonly prescribed for acne. Trichotillomania: A type of alopecia caused by the constant pulling and twirling of a specific area of scalp. The hair loss usually improves once the habit is precluded; however, in some severe cases it is permanent. Tunnel Graft: A method of attaching a hairpiece that involves taking skin grafts from behind the ear or from the hip and attaching them to the scalp. Hairpiece clips can be fastened to them, thus, securing the hairpiece in place. Male Pattern Baldness - Medical Definition from MediLexicon Male pattern baldness MediLexicon International Ltd, Brighton, UK © 2004-2017 All rights reserved. MNT is the registered trade mark of Healthline Media . Baldness | definition of baldness by Medical dictionary Baldness | definition of baldness by Medical dictionary baldness [bawld´nes] total or partial loss or absence of hair, especially absence of the hair from the scalp; called also alopecia .

common baldness androgenetic alopecia ; in men called common male baldness and in women called common female baldness. male pattern baldness see androgenetic alopecia . al·o·pe·ci·a (al'ō-pē'shē-ă), [G. alōpekia, a disease resembling fox mange, fr. alōpēx, a fox] baldness /bald·ness/ (bawld´nes) alopecia, especially of the scalp. male pattern baldness see androgenetic alopecia , under alopecia. baldness absence of hair, especially from the scalp. See also alopecia . baldness A general term for hairlessness of the head. Forms • Male pattern baldness—hair loss at the front and vertex; • Alopecia areata—patchy hair loss; • Alopecia capitis totalis—total hair loss on the head. al·o·pe·ci·a (al-ō-pē'shē-ă) Complete or partial absence or loss of hair. Results from normal aging, endocrine disorders, skin disease, or drug reactions (especially various forms of chemotherapy). [G.

alōpekia, a disease resembling fox mange, fr. alōpēx, a fox] baldness Lack of or partial loss of hair on the head. See: alopecia MALE PATTERN BALDNESS male-pattern baldness The typical pattern of baldness in males in which the baldness begins in the frontal area and proceeds until only a horseshoe area of hair remains in the back and at the temples. It is due to testosterone, but genetic predisposition is also a factor. Baldness does not usually occur in males having no familial tendency to become bald. Minoxidil or finasteride has helped stimulate growth of hair in some individuals. Synonym: male-pattern alopecia See: illustration illustration baldness Premature hair loss. Male baldness is common and is thought to be due to an AUTOSOMAL gene that behaves in a DOMINANT manner in males and in a RECESSIVE MANNER in females. This is called a sex-influenced trait. See also ALOPECIA . baldness absence of hair; alopecia.

pattern baldness occurs in dogs as hair loss of the ears in Dachshunds, predominantly males; hair loss on the ventral neck, caudomedial thighs and tail in American water spaniels and Portuguese water dogs; and hair loss on the postauricular areas, ventral and neck and ventral body in dogs of several small breeds. Patient discussion about baldness Q. What medications cause hair loss? I have RA, high blood pressure, high cholesterol, allergies and depression for which I take medication. Which of these cause hair loss? A. any one of them can, you need to ask your pharmacist about it Q. Will my hair fall off if I have leukemia? I was diagnosed with ALL and I have to pass on a series of chemotherapy treatments, will my hair fall off? What are the side effects of chemotherapy? A. Sorry but Yes. Most chemotherapy drugs that will be used do have the side effect of hair loss. However, this will only be temporary and your hair will grow back, probably even better than before! This is just a minor setback, not to be concerned about it.. Q. Do you know if Propecia can truly stop hair loss and even grow back hair. do you have any statistics about it?

do you know if there are any side effects to this medication? A. it does work but there is some side affects, as in E.D. while you are on the med. Hair Loss Glossary of Terms, Balding Terminology | Bernstein Medical Hair Loss Glossary Acne Keloidalis Firm, red brown papules (small bumps) and plaques on the back of the scalp at the nape of the neck of unknown etiology. It has a genetic predisposition and occurs more commonly in persons of African descent. It is treated with local injections of corticosteroids, antibiotics, and surgery. Because these lesions occur in the donor area, its presence is a relative contraindication for hair restoration surgery. Alopecia The medical term for hair loss of any type. It can result from illness, functional disorder, or a hereditary predisposition. Alopecia Areata An autoimmune condition where the body produces antibodies against its own hair follicles. It is characterized by the sudden appearance of smooth circular patches of bald spots on the scalp, beard, eyelashes, or other parts of the body. Hair transplantation is generally not indicated for this condition and treatment consists of injections with cortisone or other medical therapies.

Generally the earlier the onset and the more extensive the hair loss, the worse the prognosis. Other characteristic features include: 1) exclamation point hairs – hairs tapered at the bottom due to the inflammation which causes injury to the hair shaft, 2) hair pigment changes, 3) grid-like nail pitting, 4) positive hair pull test – showing telogen hairs and hairs with tapered broken ends (dystrophic anagen hairs). Alopecia Marginalis Hair loss primarily at the hairline and temples which is usually caused by continued traction from braids or hair extensions. If condition persists over a length of time, hair loss may become permanent even when braiding is discontinued. Other causes of hair loss in men occurring in this distribution include a hereditary thinning in the area (unrelated to trauma) and follicular degeneration syndrome . Alopecia Totalis A type of alopecia areata that results in the total loss of hair on the scalp. Alopecia Universalis A type of alopeica areata that involves all the hair on the body including the eyelashes, eyebrows, and hair on the trunk and extremities. Anagen The growing phase of the hair follicle. It generally lasts from 2 to 5 years.

Anagen Effluvium Extensive hair shedding that results from damage to the hair follicles. It appears soon after exposure to the offending agent. One can see broken hair shafts and tapered, irregular hair roots. Anagen effluvium is seen with chemotherapy and radiation therapy. Androgenetic Alopecia Hair loss resulting from a genetic predisposition of follicles to the affects of DHT. It is characterized the replacement of thick terminal hairs with fine, miniaturized hairs that are eventually lost. Also termed female pattern baldness, male pattern baldness, hereditary alopecia and simply common baldness. Catagen The intermittent stage between the growing (anagen) and resting (telogen) phases of the hair growth cycle. In this transitional phase, the follicle stops producing hair and the base of the hair follicle begins to move upwards through the dermis. This phase typically lasts 2-4 weeks. Chronic Telogen Effluvium (CTE) CTE is marked by increased shedding of telogen hairs and diffuse thinning especially at the temples. It affects women age 30-60 and can start abruptly with, or without, an initiating factor.

It usually does not lead to complete baldness and can resolve in 6 months to 6 years. It typically has a long, fluctuating course with patients losing up to 50-400 hairs/day. Patients with CTE complain of excessive hair shedding whereas those with androgenetic alopecia complain of gradual thinning. The mechanism of CTE is felt to be a shorted anagen (growth) cycle. Unlike androgenetic alopecia, chronic telogen effluvium is not characterized by miniaturized hair follicles. Hair transplants are not indicated in CTE as the hair loss tends to be diffuse and patients should get better over time without treatment. Density The number of hairs in a specific area. The average hair density on the scalp is 2.25 hairs/cm2. Densitometry Densitometry is a technique to help evaluate a patient’s candidacy for hair transplantation and predict future hair loss. It analyzes the scalp under high-power magnification to give information on hair density, follicular unit composition and degree of miniaturization.

Diffuse Patterned Alopecia (DPA) Diffuse Patterned Alopecia (DPA) is a type of androgenetic hair loss characterized by diffuse thinning in the front, top, and vertex of the scalp. It is usually associated with a stable permanent zone. Diffuse Unpatterned Alopecia (DUPA) A type of androgenetic hair loss that occurs over the entire scalp so that there is no permanent zone of hair normally present in the back and sides of the scalp. The progression of hair loss is often rapid and can result in an almost transparent look due to the low density. Diagnosing DUPA is imperative, as most patients with diffuse unpatterned alopecia should not have a surgical hair restoration, as the transplanted hair will not be permanent. DUPA is a pattern more commonly seen in women. The use of densitometry is very helpful in diagnosing this condition. Dihydrotestosterone (DHT) DHT is a male hormone that is suggested to be the main cause for the miniaturization of the hair follicle and for hair loss. DHT is formed when the male hormone testosterone interacts with the enzyme 5-alpha reductase.

Discoid Lupus Erythematosus (DLE) An auto-immune disease characterized by scaly red plaques with telangiectasia (fine blood vessels), plugged follicles, atrophy (thinning of the skin) and pigmentary changes. DLE often leads to local areas of scarring and permanent localized hair loss. Treatment includes topical corticosteroids, intra-lesional corticosteroids, systemic corticosteroids, anti-malarials, topical tacrolimus topical tazarotene, topical imiquimod, isotretinoin and thalidomide. Surgical hair restoration is generally not indicated in DLE since the disease process had the propensity to recur. DLE may or may not be associated with the more generalized disease SLE . Female Pattern Alopecia Female pattern hair loss is characterized by a gradual thinning of the front and/or top of the scalp with relative preservation of the frontal hairline. Although the areas on the top of the scalp are affected the most, the process tends to be diffuse involving the entire scalp to some degree. In female alopecia, the genetics seem to be more complicated than a simple response to androgens.

Women with female alopecia are candidates for hair transplantation only if the back and sides of the scalp are stable. Follicular Degeneration Syndrome A form of scarring alopecia caused by the premature shedding of the inner root sheath of the hair follicle. It eventually results in complete follicular destruction. Because it occurs in a band around the frontal part of the scalp it had been felt that the condition was due to traction. It is now felt that the condition is idiopathic and unrelated to mechanical trauma or that it can be caused by a hot comb. Folliculitis Decalvans A form of scarring alopecia characterized by redness, swelling and pustules around the hair follicle, leading to the destruction of the follicle and consequent permanent hair loss. Folliculitis decalvans affects both men and women and may start first during adolescence or at any time in adult life. The exact cause is unknown. In most cases Staph aureus can be isolated from the pustules but the role of the bacteria is not clear.

Treatment includes: oral antibiotics – cephalosporin, minocycline, rifampin, or intralesional corticosteroids Frontal Fibrosing Alopecia More common in post-menopausal women, the front part of the scalp appears shiny, smooth and devoid of hair follicles. This pattern can mimic androgenetic alopecia but, on close inspection one notes scarring and the absence of hair follicle openings. There may be signs of inflammation including redness and scaling. The condition may be a variant of Lichen Planopilaris. Lichen Planopilaris (LPP) A condition affecting the hair follicles in localized scaly red patches that result in scarring and hair loss in the affected areas. The disease is characterized by a band-like layer of inflammatory cells at the upper most layer of the dermis that damages the hair follicles.

Treatment includes: potent topical corticosteroids, intra-lesional corticosteroids, systemic corticosteroids, oral retinoids, anti-malarials, and oral cyclosporine Loose Anagen Hair Syndrome This is a very rare condition but seen more often in females than males, presenting early in childhood, usually between the ages of 2 and 9 as diffuse patches of hair loss. This syndrome is characterized by a defective inner root sheath (abnormal keratinization) that prevents it from grasping the hair shaft cuticle. As a result the newly growing hair shaft falls out. The hair is usually blonde, feels matted or sticky, lusterless and does not require cutting. A hair-pull test is positive for anagen hairs. No systemic abnormality is associated with it. With adolescence the hair grows longer, denser and darker, but the hair pull remains positive. Ludwig Classification Classification of female pattern hair loss. It encompasses three stages: Mild (type 1), Moderate (type II) and Extensive (type III). In all three stages, there is loss on the front and top of the scalp with preservation of the frontal hairline.

If the person’s donor hair is stable at the back and sides of the scalp, women of all three types of Ludwig Classification may be candidates for hair transplantation. Male Pattern Baldness (MPD) Also known as androgenetic alopecia or common baldness. This is the most common type of hair loss, caused by the affects of DHT on susceptible hair follicles. It mainly affects the frontal, top and crown of the scalp and can result in a pronounced horseshoe pattern. Marginal Hair Loss (see Alopecia Marginalis) Norwood Classification Published by Dr. O’tar Norwood in 1975, this is the most common classification for describing genetic hair loss in men. The regular Norwood pattern has seven stages that begin with recession at the temples and thinning in the crown. The Norwood Class A pattern has five stages and is characterized by a predominantly front to back progression of hair loss. Pseudo Palade of Braque A non-specific scarring alopecia of unknown cause. It also may represent the end stage of other inflammatory scalp conditions. It presents with white or flesh-colored atrophic plaques, without active inflammation.

Systemic Lupus Erythematosis (SLE) An auto-immune disease where the immune system attacks the body’s own cells, resulting in inflammation and tissue destruction. SLE can affect any part of the body, but most commonly affects the skin, joints, kidneys, heart and blood vessels. The course of the disease is unpredictable, with periods of flares and remissions. Lupus can occur at any age and is more common in women. The skin manifestations are quite varied and can present with localized lesions ( DLE ), diffuse hair loss and sensitivity to the sun. The name comes from the fact that the photo-sensitive rash that occurs on the face resembles that of a wolf. Telogen The resting phase (2-4 months). In this period a new hair begins to grow and the old hair is gradually forced out of the follicle and shed. Telogen Effluvium This condition has its onset 2-3 months after stress or insult to the scalp. Generally 35-50% of hair is affected. One can see over 300 hairs shed per day. The hairs are characteristically “club” hairs, i.e. telogen hairs that have a small bulb at the end.

Telogen effluvium is much more common in women than men. Tinea Capitis A fungal infection of the hair follicles of the scalp characterized by the formation of small crusts at the base of the follicles. It is also referred to as ringworm of the scalp. It can result in small patches of permanent hair loss. It can be diagnosed by a scalp scraping and a hair pull tested for fungus on a KOH prep and a fungal culture. The most common organism producing this condition is Tinea Tonsurans. Triangular Alopecia A triangular shaped area devoid of hair that most commonly occurs in the temples. The apex of the triangle often points towards the vertex of the scalp. It can be unilateral or bilateral. Fine, vellus hairs can be seen in the bald patch. The condition appears at birth or in early childhood and is stable. The early, stable appearance, fine vellus hair and characteristic location, help to differentiate it from alopecia areata. Hair transplantation is the treatment of choice. Traction Alopecia Develops from continuous traction or pulling on the hair. The hair loss is most prominent at the frontal hairline and temples. It can be seen with hair systems and corn-row hair styles.

It is common in African-Americans that braid or corn-row their hair. When long-standing, the hair loss can be permanent Trichotillomania A compulsive disorder characterized by pulling of one’s hair. The most common area is scalp hair causing patchy areas of hair loss with broken hairs of varying lengths. Most commonly seen in females ages 6 to 30. This condition can also involve the eyebrows or upper eyelashes (upper lashes are easier to grab). The diagnosis can be made by cutting or shaving the hair so that it is too short to grab and then observing the growth. Patients suspected of having trichotillomania should be sent for a psychiatric evaluation. A hair transplant is not indicated. Share this Page Definition of Baldness Definition of Baldness Take the Low Testosterone Quiz Baldness: Medically known as alopecia. There are many types of baldness, each with a different cause. Baldness may be localized to the front and top of the head, as in the very common type of male-pattern baldness; baldness may be patchy, a condition called alopecia areata ; or a variant of alopecia areata may involve the entire head: alopecia capitis totalis.

The word "alopecia" comes from the Greek "alopex" for "fox." Foxes are less furry when afflicted with a skin disease called the "mange" which causes them to lose their hair. When a fancier word for "baldness" was sought, the mangy fox supplied it, "alopecia" or, if you wish, "fox-mange," not a very positive image to associate with baldness. Last Editorial Review: 5/13/2016 Male pattern baldness | definition of male pattern baldness by Medical dictionary Male pattern baldness | definition of male pattern baldness by Medical dictionary baldness [bawld´nes] total or partial loss or absence of hair, especially absence of the hair from the scalp; called also alopecia . common baldness androgenetic alopecia ; in men called common male baldness and in women called common female baldness. male pattern baldness see androgenetic alopecia .

male pat·tern al·o·pe·ci·a [MIM*109200] the most common form of androgenic alopecia, seen in men as receding frontal and bilateral triangular temple hairlines, and a balding patch on the vertex, which may progress to complete alopecia; inheritance is autosomal dominant in males, recessive in females. male pattern baldness n. Progressive loss of scalp hair in men that usually begins in early adulthood and characteristically leads to loss of hair on the crown and above the temples; androgenetic alopecia. Also called male pattern hair loss. A popular term for androgenetic alopecia—thinning of hair induced by androgens—in genetically susceptible men and women, between age 12 to 40, which occurs in ± 50% of the general population.

Male-pattern baldness is typical of ageing men Racial differences White:Black, 4:1; White:Asian, 3:1 Management Finasteride, minoxidil male pattern baldness Androgenetic alopecia, androgenic hair loss, male-pattern hair loss Dermatology A popular term for androgenetic alopecia; MPB is typical of aging ♂; hair that once proudly waved o'er the crown, creeps south, eastward and westward, ne'er more to be seen Racial differences White:black, 4:1; white:Asian, 3:1. See Hair replacement . male pat·tern al·o·pe·ci·a , male pattern baldness (māl pat'ĕrn al'ō-pē'shē-ă, bawld-nĕs) The most common form of androgenic alopecia, seen in men as receding frontal and bilateral triangular temple hair lines, and a balding patch on the vertex, which may progress to complete alopecia. Patient discussion about male pattern baldness Q. Do you know if Propecia can truly stop hair loss and even grow back hair. do you have any statistics about it?

do you know if there are any side effects to this medication? A. it does work but there is some side affects, as in E.D. while you are on the med. DeOliveira Hair Care Systems Inc. Hair Disorders of the Hair and Scalp Define hair. Hair is a slender, thread like outgrowth of the skin and scalp of the human body. Why is the study of hair important to a cosmetologist? The study of hair is of paramount importance to cosmetologists because hair is what they primarily deal with. What are the main purposes of hair? The main purposes of hair are adornment and protection of the head from heat, cold and injury. What kind of treatment may cause the hair structure to become weakened? Abuse of the hair by harmful cosmetic applications or faulty hair services can cause the hair structure to become weakened or damaged. Give the name of the protein found in the hair. Keratin. Name the two parts into which the length of the hair is divided. Hair root and hair shaft. What is the hair root? The hair root is that portion of the hair located beneath the skin surface. What is the hair shaft? The hair shaft is the portion of the hair structure extending above the skin surface.

What is the hair follicle? Hair follicle is a tube-like depression or pocket, in the skin that encases the hair root. What is meant by hair stream? The direction of the natural flow of hair on the scalp. For what foreign bodies are the mouths of hair follicles favorite breeding places? Germs and dirt. What is the hair bulb? Hair bulb is a thickened, club-shaped structure forming the lower part of the hair root. What is the Hair papilla? Hair papilla is a small cone-shaped elevation at the bottom of the hair follicle that fits into the hair bulb. What is the function of the paplilla? The papilla has a supply of rich blood and nerves. These contribute to the growth and regeneration of the hair. Through the papilla nourishment reaches the hair bulb. The papilla has the ability to produces hair cells. How does the hair receive its nourishment? Through the papilla. What muscle and gland are attached to the hair follicle? Arrector pili muscle and sebaceous (oil) glands. What causes "goose flesh"? Fear or cold contracts the arrector pili muscle causing the hair to "stand up" straight.

What function is performed by the oil glands for hair? The oil glands secrete an oily substance (sebum), which give luster and pliability to the hair. List five factors that influence the production of sebum. Diet; blood circulation, emotional disturbances, stimulation of endocrine glands, and drugs. What determines the size and shape of the hair? The shape, size and direction of the hair follicle. Name three general shapes of hair. Straight, wavy and curly or kinky. Name three layers found in hair. Cuticle, cortex, and medulla. Which hair layer serves to protect its inner structure? The cuticle. Which hair layer contains the coloring matter? The cortex. Which layer is sometimes missing in very fine hair? The medulla. Which parts of the body do not contain any hair? Palms, soles, lips and eyelids. Briefly desribe the appearance of lanugo hair. Lanugo hair is the fine, soft, downy hair of the cheeks, forehead and nearly all other areas of the body. What is the function of lanugo hair? It helps in the effiicient evaporation of perspiration. What is meant by hair cycle?

Hair cycle is the growth, fall and replacment of the hair. What is the average rate of growth of hair on the head? About 1/2 inch per month. List three ways in which climatic conditions will effect the hair? A) moisture in the air will deepen the natural wave B) cold air will cause the hair to contract. C) heat will cause the hair to swell or expand and absorb moisture. What is the average number of hairs shed daily? 50-80 hairs. Briefly explain the hair replacement process. The bulb loosens and separates from the papilla. The bulb moves upward in the follicle. The hair moves slowly to the surface, where it is shed. The new hair is formed by cell division at the root of the hair around the papilla. What is the average life span of scalp hair? 2-4 years. About how many hairs are on a head of: a)blond hair; b) brown hair; c) black hair d) red hair A) 140,000 B)110,000 C)108,000 D) 90,000 What is melanin?

Melanin is the coloring matter or pigment of the hair. What causes the hair to turn grey? Grey hair is caused by the absence of hair pigment in the corticle layer. In most cases, the hair graying is caused by age. It can also result from serious illness or nervous shock. What is an albino? An albino is a person born with white hair, the result of an absence of coloring matter in the hair shaft, accompanied by no marked pigment coloring in the skin or irises of the eyes. What is; a) cowlick, b) whorl? A) A cowlick is a tuft of hair standing up, B) a whorl is a hair that forms a swirly effect. Name the four sense used when analyzing the hair. Sight, touch, hearing and smell. Name the four important qualities by which hair is judged. Texture, porosity, elasticity, and condition of the hair. Define hair texture. Degress of coarseness of fineness in the hair. Define hair porosity. Ability of hair to absorb moisture. Define hair elasticity. Ability to hair to stretch and return to its original form without breaking.

To what extend can normal hair be stretched: a) when dry , b) when wet? A) Dry hair can stretched about one-fifth of its length B) Wet hair can be stretched from 40-50% of its length. Disorders of the Scalp and Hair How is dandruff recognized? Dandruff is recognized by small, white scales that usually appear on the scalp and hair. What is a direct cause of dandruff? The excessive shedding of the epithelial cells. List six conditions that may be the cause of dandruff. Poor circulation, infection, injury, lack of nerve stimulation, improper diet, uncleanliness. Give the medical term for : a) dandruff, b) dry type of dandruff; c) greasy or waxy type of dandruff. A) Pityriasis, B) Pityriasis capitis simplex, c) Pityriasis steadoides. What is meant by alopecia? Alopecia is the technical term for any abnormal form of hair loss. Is the ordinary falling out of hair considered a disease? Explain. No.

When hair has grown to its full length, it comes out by itself and is replaced by a new hair. At what times of the year does the shedding of hair occur most frequently? in the spring and fall. What is alopecia senilis? Alopecia senilis is a form of baldness occuring in old age. Define alopecia prematura. Alopecia prematura is a form of baldness beginning anytime before middle age with a slow thinning process. What is alopecia areata? Alopecia areata is the sudden falling out of hair in round patches or baldness in spots. What is the common term for tinea? Ringworm. What is the cause of tinea? It is caused by vegetable parasites. How is tinea transmitted from one person to the other? It is commonly carried by scales or hairs containing fungi. Shower baths, swimming pools, and unsanitized articles are also sources of transmission. What is the common name for pediculosis capitis? Should this condition be treated by a cosmetologist? Head louse.No. What is the technical term for grey hair? Canities. Give several causes of gray hair.

Worry, anxiety, nervous strain, prolonged illness, various wasting diseases and heredity. What is meant by ringed hair? Alternate bands of gray and dark hair. Briefly desribe the following: a) trichoptilosis, b) hypertrichosis. a) Trichotilosis is the technical name for split hair ends. b) Hypertrichosis means superflous hair, and abnormal development of hair on areas of the body normally bearing only downy hair. What is another term for hypertricosis? Hirsuties. Give the medical terms for: a) knotted hair, b) beaded hair. a) Trichorrhexis nodosa. What is meant by fragilitas crinium? term used for hair that is split at any part of the hair length. DANDRUFF Dandruff consists of small, white scales that usually appear on the scalp and hair. It is also known by the medical term pityriasis (pit-e-riah-sis). Long neglected, excessive dandruff may lead to baldness. A dire cause of dandruff is the excessive shedding of the epithelial cells.

Instead of growing to the surface and falling off, the horny scales accumulated on the scalp. Indirect or associated causes of dandruff are a sluggish condition of the scalp, occasioned by poor circulation, infection, injury, and lack of nerve stimulation, improper diet, and uncleanliness. PSORIASIS ON THE SCALP Psoriasis on the scalp is one of the most unsanitary, uncomfortable, and unpleasant manifestations of the disease which can occur, and the self-consciousness a client develops, because it is so visible, makes it all the more disturbing. Through the years, I have developed a herbal scalp treatment that has proven to be quite effective in ridding the scalp accumulating scales as well as enhancing the healing of the surface cells. Psoriasis on the scalp can and does cause hair loss. DE OLIVEIRA HAIR CARE SYSTEMS MEANS TOP QUALITY PRODUCTS Behind the name you will find not only the best of natural herbs and other essentials, but also a principle, a philosophy if you will, whereby a conscientiously applied program in conjunction with the system is essential in bringing forth the results you desire. The De Oliveira Hair Care System can provide the nutrients, cleansers and stimulators that improve and enhance the condition of the scalp and hair.

The De Oliveira System is highly specific in it is actions and includes products for every possible hair and scalp type. "It is my belief that health and beauty are one and the same, that nature's garden provides all of our necessities and that God grants all good things in response to our sincerest of efforts". Mariana De Oliveira TREATMENTS SHOULD BE APPLIED EVERY DAY FOR BEST RESULTS OR AS RECOMMENDED BY YOUR HAIR CARE SPECIALIST. THINNING HAIR and HAIR LOSS is a significant factor in the lives of many men and women. Some factors are: A thorough scalp massage is beneficial in the following ways: 1. The blood and lymph flow are increased 2. Nerves are rested and soothed 3. Scalp muscles are stimulated 4. The scalp is made more flexible 5. Hair growth is promoted and hair is made lustrous 6. Allows the hair follicles to receive the body's supply of essential nutrients with each movement described bellow: - In scalp massage the hands are placed under the hair, apply firm pressure on criss cross strokes. - When giving a scalp massage care should be taken to give the manipulations slowly without pulling the hair in any way.

The longer you massage the more you benefit. THE HAIR HAS VARIOUS USES The special little places from which the hairs grow are very complicated and beautifully made. Every hair really consists of six layers, all of which are made by the cells of the little hair bulb from which the hair grows. But each hair requires to be looking after, or it will become brittle and will break off. So there are special glands - usually two to each hair - that produce a kind of oil that keeps the hair soft and pliable, and prevents it from cracking. Also, every hair has a muscle which is attached to its root, and when this tiny little muscle contracts, it pulls upon the hair and makes it stand upright. So when we read stories of people whose hair stood on end, it is quite possible that that really might happen, though it is not common. We scarcely ever use these little muscles, and no one can use them by his own will. Like the hairs themselves, they are relies from the past.

DIFFERENT TYPES OF ALOPECIA ALOPECIA - term for loss of hair ALOPECIA ADNATA - baldness at birth ALOPECIA AREATA - baldness in spots or patches ALOPECIA FOLLICULARIS - loss of hair as a result of inflammation of the hair follicles ALOPECIA PREMATURA - baldness beginning before middle age ALOPECIA SENILIS - baldness occurring in old age ALOPECIA TOTALIS - complete loss of hair from the entire scalp ALOPECIA UNIVERSALIS - means loss of all body hair Definition of Hair loss Our Hair Loss Main Article provides a comprehensive look at the who, what, when and how of Hair Loss Definition of Hair loss Causes of a Heart Attack Slideshow Hair loss: Hair loss is the thinning of hair on the scalp. The medical term for hair loss is alopecia. Alopecia can be temporary or permanent. The most common form of hair loss occurs gradually and is referred to as "androgenetic alopecia," meaning that a combination of hormones (androgens are male hormones) and heredity (genetics) is needed to develop the condition.

Other types of hair loss include alopecia areata (patches of baldness that usually grow back), telogen effluvium (rapid shedding after childbirth, fever , or sudden weight loss ); and traction alopecia (thinning from tight braids or ponytails). Hair loss normally occurs gradually with age in both men and women, but is typically more pronounced in men. Last Editorial Review: 5/13/2016 Female pattern hair loss | DermNet New Zealand Home » Topics A–Z » Female pattern hair loss Female pattern hair loss Author: Dr Leona Yip, Research Fellow, St Vincent's Hospital, Melbourne, Australia, 2007. Updated by Prof Rod Sinclair, Melbourne, Australia, July 2015. What is female pattern hair loss? Female pattern hair loss (FPHL) is a distinctive form of hair loss that occurs in women with androgenetic alopecia. Many women are affected by FPHL. In fact, around 40% of women by age 50 show signs of hair loss and less than 45% of women actually reach the age of 80 with a full head of hair.

In FPHL, there is diffuse thinning of hair on the scalp due to increased hair shedding or a reduction in hair volume, or both. It is normal to lose up to 50-100 hairs a day. Another condition called chronic telogen effluvium also presents with increased hair shedding and is often confused with FPHL. It is important to differentiate between these conditions as management for both conditions differ. FPHL presents quite differently from the more easily recognizable male pattern baldness , which usually begins with a receding frontal hairline that progresses to a bald patch on top of the head. It is very uncommon for women to bald following the male pattern unless there is excessive production of androgens in the body. Varying severity of female pattern hair loss Images courtesy of R. Sinclair, FACD What causes female pattern hair loss? FPHL has a strong genetic predisposition. The mode of inheritance is polygenic, indicating that there are many genes that contribute to FPHL, and these genes could be inherited from either parent, or both. Genetic testing to assess risk of balding is currently not recommended, as it is unreliable.

Currently, it is not clear if androgens (male sex hormones) play a role in FPHL, although androgens have a clear role in male pattern baldness. The majority of women with FPHL have normal levels of androgens in their bloodstream. Due to this uncertain relationship, the term FPHL is preferred to ‘female androgenetic alopecia’. The role of oestrogen is uncertain. FPHL is more common after the menopause suggesting oestrogens may be stimulatory for hair growth. But laboratory experiments have also suggested oestrogens may suppress hair growth. What is the normal hair growth cycle? Everyone is born with a fixed number of hair follicles on the scalp that produce hairs throughout life. Hair grows from the base of the follicle at a rate of about one centimetre a month for about three years. This growth phase is called anagen. After anagen, the hair dies (catagen hair) and no longer grows. It sits dormant in the follicle for a three-month phase called telogen. After telogen, the hair follicle undergoes another anagen phase to produce a new hair that grows out of the same follicle.

As it grows, the old telogen hair is dislodged or pushed out. This is a cycle that continues throughout life. Normal hair growth cycle Image © 1998 Merck Sharpe and Dohme (with permission) Hair shedding Increased hair shedding or telogen effluvium is a feature to FPHL. Women can use the hair shedding guide below to define whether hair shedding is normal or excessive, To assess hair shedding, women should choose which of the 6 photographs of hair bundles best represents how much hair they shed on an average day. Doctors can use the hair shedding scale to score hair loss at each patient visit to assess response to treatment. It can also be used in clinical trials to assess new treatments for excess hair shedding. Hair shedding guide Images courtesy of R. Sinclair, FACD Hair miniaturisation Unlike other areas of the body, hairs on the scalp to grow in tufts of 3–4. In androgenetic alopecia the tufts progressively lose hairs. Eventually when all the hairs in the tuft are gone, bald scalp appears between the hairs. Hair miniaturisation Image courtesy of R. Sinclair, FACD How long does it take for FPHL to 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. Without medication, it tends to progress in severity over the next few decades of life. What are the effects of female pattern hair loss? Many studies have shown that hair loss is not merely a cosmetic issue, but it also causes significant psychological distress. Compared to unaffected women, those affected have a more negative body image and are less able to cope with daily functioning. Hair loss can be associated with low self-esteem, depression, introversion, and feelings of unattractiveness. It is especially hard to live in a society that places great value on youthful appearance and attractiveness. Should I have any hormone tests done? Your doctor may arrange blood tests that include female and male sex hormone levels as well as thyroid function, as part of the diagnostic workup for your hair loss. The majority of women affected by FPHL do not have underlying hormonal abnormalities. However a few women with FPHL are found to have excessive levels of androgens.

These women tend also to suffer from acne, irregular menses and excessive facial and body hair. These symptoms are characteristic of polycystic ovarian syndrome (PCOS) although the majority of women with PCOS do not experience hair loss. Less often, congenital adrenal hyperplasia may be responsible. What treatments are available? Treatments are available for FPHL although there is no cure. It is important to manage expectations when seeking treatment, as the aim is to slow or stop the progression of hair loss rather than to promote hair regrowth. However, some women do experience hair regrowth with treatment. Results are variable and it is not possible to predict who may or may not benefit from treatment. A Cochrane systematic review published in 2012 concluded that minoxidil solution was effective for FPHL. Minoxidil is available as 2% and 5% solutions; the stronger preparation is more likely to irritate and may cause undesirable hair growth unintentionally on areas other than the scalp. Hormonal treatment , i.e. oral medications that block the effects of androgens (e.g. spironolactone, cyproterone, finasteride and flutamide) is also often tried.

A combination of low dose oral minoxidil (0.25 mg daily) and spironolactone (25 mg daily) has been shown to significantly improve hair growth, reduce shedding and improve hair density. Once started, treatment needs to continue for at least six months before the benefits can be assessed, and it is important not to stop treatment without discussing it with your doctor first. Long term treatment is usually necessary to sustain the benefits. Cosmetic camouflages include coloured hair sprays to cover thinning areas on the scalp, hair bulking fibre powder, and hair wigs . Hair transplantation for FPHL is becoming more popular although not everyone is suitable for this procedure. Low level laser therapy is of unproven benefit in pattern balding but one device has been approved by the FDA for marketing. Further studies are required to determine the magnitude of the benefit, if any. Where do I go to seek help? Your first stop would be to see your general practitioner (GP) who can perform a medical workup to exclude other reasons for hair loss. Your GP can refer you to a dermatologist for further management of FPHL. Sometimes, it may be necessary for your doctor to perform a scalp biopsy to confirm this diagnosis.

It is important to seek reliable information and advice from authoritative sources as there are many bogus treatments that are expensive and do not work. Related information References:

Question: What is the technical term for baldness?
Answer: Alopecia