Effect of Oral Minoxidil on Monilethrix

    Nikollas Munhoz, Natalia Caballero Uribe, Ralph M. Trüeb
    TLDR Oral minoxidil improved hair thickness in a person with monilethrix.
    The document discusses a case study of a 14-year-old female with monilethrix, a genetic hair disorder characterized by fragile, beaded hair, who developed female androgenetic alopecia (AGA) at age 23. She was successfully treated with 1.25 mg oral minoxidil, which improved hair thickness and diversity of hair shaft diameters, although the structural anomaly of monilethrix persisted. The study highlights that while no specific treatment exists for monilethrix, minoxidil can be beneficial for comorbid AGA, enhancing hair length and thickness. The report emphasizes the importance of recognizing multiple causal relationships in hair disorders and the advantage of oral minoxidil in reducing trauma to fragile hair compared to topical applications.
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