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Wash test to distinguish between AGA and telogen effluvium (Androgenetic Alopcia (AGA) Female Pattern)

posted by HairSite Admin, 31.08.2008, 02:35

Wash test to distinguish between AGA and telogen effluvium

The wash test was first introduced to quantify the amount of hair lost under standardized washing conditions. It is a non-invasive method to measure hair loss by counting and identifying rinsed out hairs.The wash test was modified by Rebora et al. as the so-called AGA/TE wash test in order to distinguish
between AGA and telogen effluvium (TE), by counting the number of vellus and terminal telogen hairs rinsed out on washing.

Procedure

After a 5-day abstention from shampooing, the patients wash and rinse their hair in a basin whose hole is covered by gauze to entrap the lost hairs. Hairs are then collected in a paper envelope and brought to the examiner
for hair count and further analyses. For the AGA/TE modified wash test, the hairs are counted and divided into three classes of hair length:

(1)long hair >5 cm,
(2) intermediate hair (>3 to <5 cm),
(3) short vellus hair (<3 cm).

Hairs shorter than 3 cm are counted as telogen vellus hairs. The final results of the AGA/TE modified wash test are given as the total number of telogen hairs and the percentage of telogen vellus hairs.


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