Regarding my hair loss which occurred in 2019. I just wanna know is it female pattern or not? (Photo)

Question

Every doctor that I’ve been going to has aaid that I have telogen effluvium. I’ve had hair loss from accutane and anorexia. Although I see a lot of miniatured hair in the microscope that I bought. Is there a way any doctor over here could help me figure out what could be the issue ?

Jeff Rapaport, MD · Answer

Your phototrichogram show miniaturization and decreased density. This is suggestive of Female Pattern Alopecia.  A hair  biopsy is recommended as well as bloodwork. You may have had Telogen Effluvium  that unmasked the problem. Find a hair expert.
Jeff Rapaport MD FAAD 
Realself Hall of Fame

Jeff Donovan, MD, PhD · Answer

The point that should not be missed here is “how does one diagnose hair loss anyways?” We diagnose hair loss by reviewing the full story of the patient’s hair loss and medical history together with a full scalp examination. None of these have been outlined here so all that we have is trichoscopy images. One does not confidently (with 100 % certainty) diagnose hair loss in this manner. However, what I can say is that there is a suggestion of androgenetic alopecia. Whether telgen effluvium is ALSO present can not be determined on these photos at all. A proper review of the history together with a full examination will get to the answer. A biopsy is probably not needed but if it is done it needs to be taken from the mid-scalp area not anywhere else. A terminal to vellus hair ratio less than 4:1 would suggest FPHL.

Kim Meathrel, MD, JD, MBA · Answer

It is possible to have telogen effluvium from stress and illness that unmasks an underlying genetic hair loss pattern. I would suggest seeing a hair loss surgeon to complete a biopsy and have appropriate bloodwork completed. This will be helpful in clarify the underlying cause(s) and help formulate an appropriate treatment plan.

Regarding my hair loss which occurred in 2019. I just wanna know is it female pattern or not? (Photo)

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Regarding my hair loss which occurred in 2019. I just wanna know is it female pattern or not? (Photo)

Answers (3)

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