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Approach to the adult female patient with diffuse nonscarring alopecia.
J Am Acad Dermatol. 2002 Dec; 47(6):809-18; quiz 818-20.JA

Abstract

Alopecias are traditionally categorized by the presence or absence of scarring and by a diffuse or localized pattern. A common clinical conundrum is that of a woman presenting with the chief complaint of diffuse, nonscarring hair loss. We review the 4 main diagnostic possibilities for this clinical scenario: (1) female pattern hair loss (androgenetic alopecia), (2) acute and chronic telogen effluvium, (3) diffuse alopecia areata, and (4) loose anagen syndrome. We also outline our approach to the individual patient, emphasizing the pertinent history, physical examination, and appropriate diagnostic testing. This approach usually allows the clinician to make a definitive diagnosis or limited differential diagnosis and to offer the patient therapeutic options.

Authors+Show Affiliations

Chartier MB
Department of Dermatology, University of Connecticut Health Center, Farmington 06032, USA.
Hoss DM
No affiliation info available
Grant-Kels JM
No affiliation info available

MeSH

AdultAlopeciaBiopsy, NeedleChild, PreschoolFemaleHumansImmunohistochemistryIncidenceMiddle AgedPrognosisRisk AssessmentRisk FactorsScalpSeverity of Illness Index

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12451364

Citation

Chartier, Molly Beth, et al. "Approach to the Adult Female Patient With Diffuse Nonscarring Alopecia." Journal of the American Academy of Dermatology, vol. 47, no. 6, 2002, pp. 809-18; quiz 818-20.
Chartier MB, Hoss DM, Grant-Kels JM. Approach to the adult female patient with diffuse nonscarring alopecia. J Am Acad Dermatol. 2002;47(6):809-18; quiz 818-20.
Chartier, M. B., Hoss, D. M., & Grant-Kels, J. M. (2002). Approach to the adult female patient with diffuse nonscarring alopecia. Journal of the American Academy of Dermatology, 47(6), 809-18; quiz 818-20.
Chartier MB, Hoss DM, Grant-Kels JM. Approach to the Adult Female Patient With Diffuse Nonscarring Alopecia. J Am Acad Dermatol. 2002;47(6):809-18; quiz 818-20. PubMed PMID: 12451364.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Approach to the adult female patient with diffuse nonscarring alopecia. AU - Chartier,Molly Beth, AU - Hoss,Diane Marie, AU - Grant-Kels,Jane Margaret, PY - 2002/11/27/pubmed PY - 2003/1/10/medline PY - 2002/11/27/entrez SP - 809-18; quiz 818-20 JF - Journal of the American Academy of Dermatology JO - J Am Acad Dermatol VL - 47 IS - 6 N2 - Alopecias are traditionally categorized by the presence or absence of scarring and by a diffuse or localized pattern. A common clinical conundrum is that of a woman presenting with the chief complaint of diffuse, nonscarring hair loss. We review the 4 main diagnostic possibilities for this clinical scenario: (1) female pattern hair loss (androgenetic alopecia), (2) acute and chronic telogen effluvium, (3) diffuse alopecia areata, and (4) loose anagen syndrome. We also outline our approach to the individual patient, emphasizing the pertinent history, physical examination, and appropriate diagnostic testing. This approach usually allows the clinician to make a definitive diagnosis or limited differential diagnosis and to offer the patient therapeutic options. SN - 0190-9622 UR - https://www.unboundmedicine.com/medline/citation/12451364/Approach_to_the_adult_female_patient_with_diffuse_nonscarring_alopecia_ DB - PRIME DP - Unbound Medicine ER -