alopecia
ALOPECIA
Treatment Guideline Chart

Alopecia is an involuntary loss of hair usually in the scalp that may occur anywhere over the body.
Scarring alopecia is severe inflammation of the hair follicle result in irreversible damage.
Non-scarring alopecias are reversible.
Alopecia may  be abrupt or gradual in onset.
Most common causes include androgenic alopecia (male & female pattern baldness) & alopecia areata.
History should be reviewed for medications, severe diet restriction, vitamin A supplementation, thyroid symptoms, concomitant illness & stress factor.

Alopecia References

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  5. Olsen E, Messenger A, Shapiro J, et al. Evaluation and treatment of male and female pattern hair loss. J Am Acad Dermatol. 2005 Feb;52(2):301-311. PMID: 15692478
  6. Price VH. Treatment of hair loss. New Eng J Med. 1999 Sep;341(13):964-973. PMID: 10498493
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  16. Berth-Jones J. Alopecia areata. In: Lebwohl MG, Heymann WR, Berth-Jones J, et al. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, Pennsylvania, USA: Saunders, Elsevier; 2018. 29-33. :29-33.
  17. Blume-Peytavi U, Blumeyer A, Tosti A, et al. S1 guideline for diagnostic evaluation in androgenetic alopecia in men, women and adolescents. Br J Dermatol. 2011 Jan;164(1):5-15. doi: 10.1111/j.1365-2133.2010.10011.x. PMID: 20795997
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  21. Kanti V, Messenger A, Dobos G, et al. S3 – European Dermatology Forum guideline for the treatment of androgenetic alopecia in women and in men. European Dermatology Forum. https://www.edf.one. 7 Jul 2017. Accessed 15 Oct 2019.
  22. Kanti V, Messenger A, Dobos G, et al. Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men - short version. J Eur Acad Dermatol Venereol. 2018 Jan;32(1):11-22. doi: 10.1111/jdv.14624. PMID: 29178529
  23. Manabe M, Tsuboi R, Itami S, et al. Guidelines for the diagnosis and treatment of male-pattern and female-pattern hair loss, 2017 version. J Dermatol. 2018 Sep;45(9):1031-1043. doi: 10.1111/1346-8138.14470. PMID: 29863806
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  25. McMichael A. Female pattern hair loss (androgenetic alopecia in women): Treatment and prognosis. UpToDate. https://www.uptodate.com. Sep 2019.
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  27. Messenger AG. Alopecia areata: Management. UpToDate. https://www.uptodate.com. Sep 2019.
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  33. Sperling LC, Sinclair RD, El Shabrawi-Caelen L. Alopecias. In: Bolognia JL, Schaffer JV, Cerroni L. Dermatology. 4th ed. Philadelphia, Pennsylvania, USA: Saunders, Elsevier; 2018. 1162-1187. :1162-1187.
  34. Unger WP, Unger RH. Androgenetic alopecia. In: Lebwohl MG, Heymann WR, Berth-Jones J, et al. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, Pennsylvania, USA: Saunders, Elsevier; 2018. 37-40. :37-40.
  35. American Academy of Dermatology Association (AAD). Hair loss types: Alopecia areata diagnosis and treatment. AAD. https://www.aad.org/. 2023.
  36. American Academy of Dermatology Association (AAD). Hair loss types: Alopecia areata overview. AAD. https://www.aad.org/. 2023.
  37. Meah N, Wall D, York K, et al. The Alopecia Areata Consensus of Experts (ACE) study: Results of an international expert opinion on treatments for alopecia areata. J Am Acad Dermatol. 2020 Jul;83(1):123-130. doi: 10.1016/j.jaad.2020.03.004. PMID: 32165196
  38. Messenger AG. Alopecia areata: Management. UpToDate. https://www.uptodate.com. Jan 2023.
  39. Ramos PM, Anzai A, Duque-Estrada B, et al. Consensus on the treatment of alopecia areata - Brazilian Society of Dermatology. An Bras Dermatol. 2020 Nov;95(Suppl 1):39-52. doi: 10.1016/j.abd.2020.05.006. PMID: 33183894
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