Quiz Your Knowledge: Polycyclic Annular Plaques on the Trunk Following Dutasteride Treatment

    August 2020 in “ European Journal of Dermatology ”
    Ricardo Ruíz‐Villaverde, Ángela Ayén‐Rodríguez, José María Llamas‐Molina
    TLDR Dutasteride for hair loss can cause skin reactions like itchy red plaques.
    A 56-year-old woman undergoing treatment for androgenetic alopecia with dutasteride developed erythematous, pruritic plaques on her trunk three weeks after starting the medication. She had a history of hypothyroidism and was on hormone replacement therapy for early menopause. The plaques were polycyclic and annular in nature, indicating a possible adverse reaction to the dutasteride treatment. This case highlighted the need for awareness of potential skin reactions in patients receiving dutasteride for hair loss.
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      community Dutasteride is amazing even for women with FAGA!

      in Female  151 upvotes 6 months ago
      Dutasteride significantly improved hair health and reduced shedding for a woman with PCOS and hyperandrogenism, without causing depression or anxiety, unlike finasteride. Dutasteride also helped with PMDD symptoms and had no side effects, though it changed hair texture.

      community Spironolactone for 11 years, finasteride for almost 5 years, started oral minoxidil in November 😢 ended oral contraceptive in Dec.

      in Progress Pictures  224 upvotes 1 year ago
      A user shared their 11-year experience with spironolactone and nearly 5 years with finasteride for hair loss, recently adding oral minoxidil and stopping birth control. Various treatments were discussed, including organic options, checking for underlying health issues, considering dutasteride, and the potential role of progesterone in hair loss.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      by nkrata in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Losing Hair on Dutasteride? You might have LPP

      in Research/Science  97 upvotes 1 year ago
      Men with hair loss might have lichen planopilaris (LPP), which can mimic androgenetic alopecia, leading to misdiagnosis and ineffective treatment with finasteride or dutasteride. Proper diagnosis, including biopsies, is crucial to distinguish between androgenetic alopecia and conditions like LPP.

      community C’est terrible - at my wits end

      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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