Alopecia – Diagnostic and Therapeutic Management

    June 2008 in “ Aktuelle Dermatologie
    Tobias W. Fischer
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    TLDR Early diagnosis and personalized treatment are crucial for managing different types of alopecia effectively.
    The document provided an overview of alopecia, focusing on its diagnostic and therapeutic management. It categorized alopecia into non-scarring (reversible) and scarring (irreversible) types, with androgenetic alopecia (AGA) affecting about 50% of men and 10-20% of women. Treatments like Finasteride and Minoxidil showed efficacy, with Finasteride effective in 80% of men in a study of 1,500 participants. Alopecia areata (AA), often familial and suspected to have an autoimmune pathogenesis, was treated with corticosteroids, showing 89% hair regrowth with Clobetasol foam. The document emphasized the importance of early diagnosis and individualized treatment plans, covering various therapeutic strategies for different alopecia types, including systemic antibiotics and immunosuppressive treatments for scarring alopecias.
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