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Into Thin Hair

Female Alopecia

Aisha Lofters, MD and Neda Frayha, MD
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18:34
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Tags clinical approach · dermatology

A listener wrote us and asked for a segment on alopecia in women. This is a highly distressing concern for most patients, with a straightforward, algorithmic approach to workup and treatment. In this segment, our own Mizuho Spangler and Neda Frayha look to the scalp and provide an overview of how to diagnose and manage female alopecia.

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Jacob D., MD -

How do you approach the healthy female in her 20s or 30s who anxiously complains of hair loss, requests labs, but when you look at her hair, there's no evidence of hair loss, it appears thick and healthy? Do you get labs? Can you just reassure her and say it's likely telogen effluvium?

Neda F., MD -

Hi Jacob. Good question. It depends on if her history and the pattern of hair loss is consistent with telogen effluvium. I've also found that some patients' hair may seem perfectly healthy and normal to me, but they notice that they've shed a tremendous amount and they want to figure out the cause before the hair loss becomes noticeable to others. In these cases, it is reasonable to check labs to rule out any underlying disease before providing reassurance. Thanks for listening and writing in! -- Neda

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Into Thin Hair Full episode audio for MD edition 195:41 min - 92 MB - M4APC RAP February 2019 Written Summary 406 KB - PDF

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