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Female Pattern Hair Loss-An Update.

Yasmeen Jabeen Bhat1, Najam-U- Saqib1, Insha Latif1

  • 1Postgraduate Department of Dermatology, Government Medical College, Srinagar, Jammu and Kashmir, India.

Indian Dermatology Online Journal
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Summary

Female pattern hair loss (FPHL) involves progressive thinning due to follicular miniaturization. Diagnosis involves clinical evaluation and tests, with topical minoxidil as a primary treatment.

Keywords:
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Area of Science:

  • Dermatology
  • Trichology

Background:

  • Female pattern hair loss (FPHL) is a common nonscarring alopecia characterized by progressive hair thinning.
  • It results from follicular miniaturization influenced by genetics, inflammation, hormones, and environmental factors.

Purpose of the Study:

  • To outline the etiopathogenesis, clinical presentation, diagnostic methods, and treatment options for FPHL.

Main Methods:

  • Review of clinical presentation, diagnostic tools (history, examination, dermoscopy, biopsy), and biochemical tests for hyperandrogenism.
  • Evaluation of current medical and surgical treatment modalities.

Main Results:

  • FPHL typically presents as vertex and parietal scalp thinning, often sparing the frontal hairline.
  • Diagnosis relies on clinical assessment and specific tests; topical minoxidil is the first-line medical treatment.

Conclusions:

  • FPHL is a multifactorial condition requiring comprehensive diagnosis.
  • Effective management includes medical therapies like minoxidil, potentially supplemented by cosmetic camouflage.