Hair Loss - Distinguishing AGA From Chronic TE when associated in the same patient

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Distinguishing AGA From Chronic TE when associated in the same patient (Propecia, Avodart, Spiro, DHT & hormones ...)

posted by HairSite Admin Homepage, 19.05.2008, 03:59

I found the following article to be a good and relevant one for this discussion.

Distinguishing AGA From Chronic TE when associated in the same patient


A Simple Noninvasive Method

Alfredo Rebora, MD; Marcella Guarrera, PharmD; Manuela Baldari, MD; Federica Vecchio, MD


Arch Dermatol. 2005;141:1243-1245.

Background
Distinguishing chronic telogen effluvium (CTE) from androgenetic alopecia (AGA) may be difficult especially when associated in the same patient.


Observations
One hundred consecutive patients with hair loss who were clinically diagnosed as having CTE, AGA, AGA + CTE, or remitting CTE. Patients washed their hair in the sink in a standardized way. All shed hairs were counted and divided "blindly" into 5 cm or longer, intermediate length (>3 to <5 cm), and 3 cm or shorter. The latter were considered telogen vellus hairs, and patients having at least 10% of them were classified as having AGA. We assumed that patients shedding 200 hairs or more had CTE.

The statistic revealed, however, that the best concordance between clinical and numerical diagnosis ( = 0.527) was obtained by setting the cutoff shedding value at 100 hairs or more.

Of the 100 patients, 18 with 10% or more of hairs that were 3 cm or shorter and who shed fewer than 100 hairs were diagnosed as having AGA;

34 with fewer than 10% of hairs that were 3 cm or shorter and who shed at least 100 hairs were diagnosed as having CTE;

34 with 10% or more of hairs that were 3 cm or shorter and who shed at least 100 hairs were diagnosed as having AGA + CTE; and

14 with fewer than 10% of hairs that were 3 cm or shorter and who shed fewer than 100 hairs were diagnosed as having CTE in remission.

Conclusion
This method is simple, noninvasive, and suitable for office evaluation.


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