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Male-pattern alopecia and masculinity.

J L Burton, M M Halim, G Meyrick

    The British Journal of Dermatology
    |May 1, 1979
    PubMed
    Summary
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    Bald men are not more masculine than men with good scalp hair growth. This study found no significant correlation between scalp hair and other androgenic stimulation markers.

    Area of Science:

    • Dermatology
    • Endocrinology
    • Anthropology

    Background:

    • Androgenic hormones influence various cutaneous processes, including male-pattern baldness, hair distribution, sebum production, sweat secretion, and skin thickness.
    • The concept of 'masculinity' is often anecdotally linked to androgenic stimulation and its physical manifestations.

    Purpose of the Study:

    • To investigate the relationship between androgenic stimulation markers and male-pattern alopecia.
    • To determine if baldness correlates with other indicators of androgenic activity in normal men.

    Main Methods:

    • Measured indices of androgenic stimulation in 48 normal men, including scalp hair density, body hair distribution (forearm, leg, chest), sebum excretion rate, maximal sweat secretion rate, and skin thickness.
    • Also measured muscle, fat, and bone thickness, and plasma testosterone levels.

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    Main Results:

    • A significant positive correlation was observed between hair density on the forearm, leg, and chest.
    • No other significant correlations were found between scalp hair density and the measured indices of androgenic stimulation or body composition.

    Conclusions:

    • Baldness in men does not appear to be a reliable indicator of heightened end-organ response to androgenic stimulation.
    • Masculinity, when defined by androgenic end-organ response, is not directly correlated with the presence or absence of scalp hair.