Why is it so hard after scalp-hair check, labs,history to tell AGA from CTE?Is stress induced shedding a real diagnosis?(photos)
Doctor Answers 3
Hair loss -- PRP, Progesterone, Viviscal, Rogaine, Spironolactone
CTE vs AGA
CTE takes time to figure out. Info on family history of AGA is not useful at all in diagnosing AGA in women - especially at 51. AGA doesn't start in the 50s in women.
All in all, you'd need a careful examination. CTE is the most challenging of diagnoses. Your story does not fit well with typical CTE as general improvement over 8 months (meaning 240 days) would be unusual. Central part density reduction also unusual.
But you'd need to be seen by a dermatologist.
- CTE leads to fluctuations in shedding with shorter breaks
- Women often once had thick hair (very thick)
- Miniaturization not typical
- Onset is sudden
- Scalp sensations (tingling, burning) often present
- Pretty normal looking scalp exam or maybe significant temple recession in some
- Labs normal
- Some days 50 hairs lost; some days 350-400
- After 6-8 months, tends to reach a balance between shedding and growing and patients look similar month after month (despite massive shedding!!!)
- Biopsy done with horizontal sections show terminal to vellus ratios above 8:1 (whereas less than 4:1 for AGA)
- Central part width not typically widened in CTE
I understand how tough it is to get a diagnosis of CTE vs AGA. But they are very different conditions.
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