Does DUPA type hair loss typically manifest itself on the back and sides first instead of the typical pattern?

Question

I have some thinning in the normal male baldness pattern and have been very slowly receding at my temples for a few years. But I have recently noticed the hair on my left side above my ear seems to be thinning. so there is the normal thinning horseshoe pattern with thinning extending lower down my left side. Back and right side seem normal. obviously not looking for a personal diagnoses. just curious about DUPA's typical behavior Male, 28yrs old, on finasteride for 2 months.

Jae Pak, MD · Answer

DUPA stands for Diffuse Un-Patterned Alopecia so you as the name suggest it is diffuse and it can happy everywhere.

Jeff Rapaport, MD · Answer

DUPA usually presents as a diffuse unpatterned hair loss. It is a loss of density rather than a complete hair loss. For this reason, it will not follow the usual Norwood or other patterns of hair loss. Treatment is similar to other androgenic alopecias however hair transplantation is contraindicated. We have seen good results with DUPA and PRP Therapy. Find a hair expert.
Jeff Rapaport MD FAAD
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Serkan Aygin, MD · Answer

DUPA is the short form for the term 'Diffuse Unpatterned Alopecia.'  This is a subtype of hereditary hair loss, or androgenetic alopecia. About 2-6 % of men have this pattern of hair loss, so it is relatively uncommon.
DUPA usually presents itself on the sides and the back of the head at first, unlike male pattern hair loss (MPH), which typically occurs at the hairline and the crown. DUPA can even sometimes mimic the symptoms of male pattern hair loss (MPH) at first glance, but it soon differentiates itself by its rapid speed and unprecedented widespread distribution of hair loss.
Incorrect diagnosis of DUPA in men is unfortunate as it may lead to improper treatment. A scalp examination by a qualified dermatologist or full-time hair restoration surgeon is required to rule out other scalp pathology that may mimic DUPA. If the diagnosis is unclear a scalp biopsy may be needed. Understanding male balding patterns for the individual with hair loss will help to determine the right path to diagnose and appropriate treatment of the hair loss.

Jeff Donovan, MD, PhD · Answer

It’s certainly possible but be sure to see an expert for proper evaluation and diagnosis. DUPA is frequenty misdiagnosed.

William Rassman, MD (retired) · Answer

DUPA is diffuse UNPATTERNED hair loss which means it is all over the scalp. The importance of making the diagnosis from the donor area is to find out if it is present there making hair transplants contraindicated.

Does DUPA type hair loss typically manifest itself on the back and sides first instead of the typical pattern?

Answers (5)

Answer: DUPA

Answer: DUPA

Answer: DUPA

Answer: DUPA

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Does DUPA type hair loss typically manifest itself on the back and sides first instead of the typical pattern?

Answers (5)

Answer: DUPA

Answer: DUPA

Answer: DUPA

Answer: DUPA

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Everything you need to know about Hair Loss Treatment

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