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Assessment of Female Androgenetic Alopecia (Androgenetic Alopcia (AGA) Female Pattern)

posted by HairSite Admin, 08.09.2008, 09:51

Assessment of Female Androgenetic Alopecia

[image]Diagnosis of FPA is more difficult than in men, because there is usually less hair loss in women and other factors with which loss can be easily confused must be excluded.Such factors include alopecia areata, telogen effluvium,loose anagen hair syndrome, trichotillomania, and scarring alopecia. A general examination is required to eliminate other causes of hair loss. Laboratory tests should include
complete blood count, thyroid stimulating hormone, and serum ferritin, as well as prolactin, free and total testosterone,and dehydroepiandrosterone sulfate (DHEAS). The last 2 should be especially assessed in women with other
presentations of excess androgens (hirsutism, treatment resistant adult acne, nigricans acanthosis, menstrual dysfunction, and galactorrhea). If an increase in DHEAS is observed, a 17-OH progesterone blood test can be
performed to rule out congenital adrenal hyperplasia during the follicular phase of the menstrual cycle15


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