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pattern alopecia
Clinical manifestations:
1) men
- hair thinning on the crown, or
- hair recession in the area of the temples
2) women
- hair thinning of the crown
- frontal hairline is preserved
- a part that is distinctly wider anteriorly
Differential diagnosis:
- polycystic ovary syndrome
Management:
1) men
- 2%-5% topical minoxidil
- oral finasteride
2) women
- 2%-5% topical minoxidil
- finasteride of no benefit to majority of women AND it is pregnancy category: X
- spironolactone may be of benefit
Specific
androgenic alopecia; androgenetic alopecia; male balding pattern
General
alopecia (hair loss, balding)
References
- Medical Knowledge Self Assessment Program (MKSAP) 15, 18.
American College of Physicians, Philadelphia 2009, 2018.