Summary of Non-Scarrign Alopecia Conditions

Derm 1

Alopecia Areata

Acute, patchy hair loss

Exam shows short, vellus hairs, broken hair shafts

Alopecia Areata- Treatment

Intralesional steroids

Trichorrhexis Nodosa

Hairs break secondary to trauma

Trichorrhexis Nodosa- Treatment

Stop causative traumatic activity

Androgenic Alopecia

+ Family history

Gradual patterned loss

Men – bitemporal thinning of frontal areas, vertex thinning progressing to complete loss in those areas with hair spared in occiput and lower temporal areas

Women – diffuse hair thinning of vertex sparing the frontal hairline

Androgenic Alopecia- Treatment

Men & Women – topical minoxidil

Women – anti-andogenic medications

Continue treatment indefinitely otherwise hair loss will recur

Trichotillomania

Patchy alopecia – typically frontoparietal progressing back towards occiput

May involve eyebrows/eyelashes

Trichotillomania- Treatment

Manage underlying psychiatric condition

Telogen Effluvium

Associated with physiologic or emotional stress

Clumps of hair fall out during shower/hair brushing

Telogen Effluvium- Treatment

Removal of underlying cause

Anagen Effluvium

Diffuse hair loss after chemotherapy

Occurs ~65% patients receiving chemo

Anagen Effluvium- Treatment

Minoxidil (Rogaine) may help during regrowth period