Dermatol. praxi. 2020;14(3):124-132 | DOI: 10.36290/der.2020.023

Alopecia - overview, causes and current treatment options

MUDr. Emanuel Marques, MUDr. Milena Tanczosová, doc. MUDr. Monika Arenbergerová, Ph.D.
Dermatovenerologická klinika, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta, Univerzita Karlova, Praha

Alopecia is a complex chapter in the field of dermatology. Multiple diseases can affect hair differently. Early diagnosis plays a key role in the treatment of this disorder, especially in regards to cicatricial alopecia, where some disease related changes might be irreversible. We present a short review of this group of disorders, with a special focus on the most common forms of alopecia that one can encounter in Europe.

Keywords: noncicatricial alopecia, cicatricial alopecia, trichoscopy.

Published: October 20, 2020  Show citation

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Marques E, Tanczosová M, Arenbergerová M. Alopecia - overview, causes and current treatment options. Dermatol. praxi. 2020;14(3):124-132. doi: 10.36290/der.2020.023.
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References

  1. Wolff K, Johnson, RA, Suurmond D. Disorders of Hair Follicles and Related Disorders. In: Fitzpatrick Color Atlas and Synopsis of Clinical Dermatology. 6th edition. New‑York: McGraw‑Hill Professional; 2009.
  2. Kanwar AJ, Narang T. Anagen effluvium. Indian J Dermatol Venereol Leprol 2013; 79: 604-612. Go to original source...
  3. Bartošová L, Jorda V, Šťáva Z. Choroby vlasů a ovlasené kůže. 1. vydání. Praha: Avicenum; 1982.
  4. Qi J, Garza LA. An overview of alopecias. Cold Spring Harb Perspect Med 2014; 4(3): a013615. Go to original source... Go to PubMed...
  5. Kanti V, Röwert‑Huber J, Vogt A, Blume‑Peytavi U. Cicatricial alopecia. J Ger Soc Dermatology 2018; 16: 435-461. Go to original source...
  6. Bolognia, J, Schaffer J, Cerroni L. Dermatology. Elsevier Saunders; 2017.
  7. Yin Li V, Yesudian P. Congenital triangular alopecia. Int J Trichology 2015; 7: 48-53. Go to original source... Go to PubMed...
  8. Accaputo O, White JM, Kolivras A, Sadeghi N, Berlingin E, Del Marmol V. Lipedematous Alopecia: Clinical, Histopathological, and Trichoscopic Findings of a Single Case and Review of the Literature. Case Rep Dermatol 2019; 11: 7-15. Go to original source...
  9. Rebora A. Telogen effluvium: A comprehensive review. Clin Cosmet Investig Dermatol 2019; 12: 583-590. Go to original source... Go to PubMed...
  10. Malkud S. Telogen effluvium: A review. J Clin Diagnostic Res 2015; 9: WE01-WE03. Go to original source...
  11. Grover C, Khurana A. Telogen effluvium. Indian J Dermatol Venereol Leprol 2013; 79(5): 591-603. Go to original source...
  12. Brzezińska‑Wcisło L, Bergler‑Czop B, Wcisło‑Dziadecka D, Lis‑wiety A. New aspects of the treatment of alopecia areata. Postep Dermatologii i Alergol 2014; 31: 262-265. Go to original source...
  13. Darwin E, Hirt P, Fertig R, Doliner B, Delcanto G, Jimenez J. Alopecia areata: Review of epidemiology, clinical features, pathogenesis, and new treatment options. Int J Trichology 2018; 10: 51-60. Go to original source... Go to PubMed...
  14. Unger R, Dawoud T, Albaqami R. Successful hair transplantation of recalcitrant alopecia areata of the scalp. Dermatologic Surg 2008; 34: 1589-1594. Go to original source...
  15. Billero V, Miteva M. Traction alopecia: The root of the problem. Clin Cosmet Investig Dermatol 2018; 11: 149-159. Go to original source... Go to PubMed...
  16. Franklin ME, Zagrabbe K, Benavides KL. Trichotillomania and its treatment: A review and recommendations. Expert Rev Neurother 2011; 11: 1165-1174. Go to original source... Go to PubMed...
  17. Singal A, Sonthalia S, Verma P. Female pattern hair loss. Indian J Dermatol Venereol Leprol 2013; 79: 626-640. Go to original source...
  18. Esen Salman K, Kucukunal NA, Kivanc Altunay I, Aksu Cerman A. Frequency, severity and related factors of androgenetic alopecia in dermatology outpatient clinic: Hospital‑based cross‑sectional study in Turkey. An Bras Dermatol 2017; 92: 35-40. Go to original source... Go to PubMed...
  19. Ludwig E. Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex. Br J Dermatol 1977; 97: 247-254. Go to original source...
  20. Zhuo FL, Xu W, Wang L, Wu Y, Xu ZL, Zhao JY. Androgen receptor gene polymorphisms and risk for androgenetic alopecia: A meta‑analysis. Clin Exp Dermatol 2012; 37: 104-111. Go to original source...
  21. Ramos PM, Miot HA. Female pattern hair loss: A clinical and pathophysiological review. An Bras Dermatol 2015; 90: 529-543. Go to original source... Go to PubMed...
  22. Cranwell WSR. Male Androgenetic Alopecia. In: Feingold KR, Anawalt B, Boyce A, et al., editor. Endotext [on-line]. South Dartmouth: MDText.com, Inc.; 2000.
  23. Gupta M, Mysore V. Classifications of patterned hair loss: a review. J Cutan Aesthet Surg 2016; 9: 3-12. Go to original source...
  24. Kaliyadan F, Nambiar A, Vijayaraghavan S. Androgenetic alopecia: An update. Indian J Dermatol Venereol Leprol 2013; 79: 613-25. Go to original source...
  25. Kanti V, Messenger A, Dobos G, et al. Evidence‑based (S3) guideline for the treatment of androgenetic alopecia in women and in men - short version. J Eur Acad Dermatology Venereol 2018; 32: 11-22. Go to original source...
  26. Hu AC, Chapman LW, Mesinkovska NA. The efficacy and use of finasteride in women: a systematic review. Int J Dermatol 2019; 58: 759-776. Go to original source...
  27. Lee WS, Lee HJ, Choi GS, et al. Guidelines for management of androgenetic alopecia based on BASP classification‑the Asian consensus committee guideline. J Eur Acad Dermatology Venereol 2013; 27: 1026-1034. Go to original source...
  28. Rudnicka L, Malgorzata O, Rakowska A. Atlas of trichoscopy. Springer; 2012. Go to original source...
  29. Abraham LS, Torres FN, Azulay‑Abulafia L. Pistas dermatoscópicas para diferenciar a tricotilomania da alopecia areata em placa. An Bras Dermatol 2010; 85: 723-726. Go to original source... Go to PubMed...
  30. Lee DY, Lee JH, Yang JM, Lee ES. The use of dermoscopy for the diagnosis of trichotillomania. J Eur Acad Dermatology Venereol 2009; 23: 731-732. Go to original source...
  31. Mathew J. Trichoscopy as an aid in the diagnosis of trichotillomania. Int J Trichology 2012; 4: 101-102. Go to original source... Go to PubMed...
  32. Bienová M, Kučerová R. Dermatoskopická diagnostika alopecií. Česko‑slovenská dermatologie 2014; 89(1): 3-7.
  33. Trüe RM, Tsambaos D, Spycher JMA, Müller J, Burg G. Scarring folliculitis in the ectrodactyly‑ectodermal dysplasia‑clefting syndrome. Dermatology 1997; 194: 191-194. Go to original source... Go to PubMed...
  34. Wolff, K, Johnson, RA, Suurmond, D. Disorders of hair follicles and related disorders. In: Wolff K, et al., editor. Fitzpatrick's color atlas and synopsis of clinical dermatology. 6th edition. 2009.
  35. Harries MJ, Sinclair RD, MacDonald‑Hull S, Whiting DA, Griffiths CEM, Paus R. Management of primary cicatricial alopecias: Options for treatment. Br J Dermatol 2008; 159: 1-22. Go to original source...
  36. Harries MJ, Paus R. The pathogenesis of primary cicatricial alopecias. Am J Pathol 2010; 177: 2152-2162. Go to original source...
  37. Errichetti E, Figini M, Croatto M, Stinco G. Therapeutic management of classic lichen planopilaris: A systematic review. Clin Cosmet Investig Dermatol 2018; 11: 91-102. Go to original source... Go to PubMed...
  38. Kossard S, Lee MS, Wilkinson B. Postmenopausal frontal fibrosing alopecia: A frontal variant of lichen planopilaris. J Am Acad Dermatol 1997; 36: 59-66. Go to original source... Go to PubMed...
  39. Tchernev G. Folliculitis et perifolliculitis capitis abscedens et suffodiens controlled with a combination therapy: Systemic antibiosis (Metronidazole Plus Clindamycin), dermatosurgical approach, and high‑dose isotretinoin. Indian J Dermatol 2011; 56: 318-320. Go to original source...




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