April 2026 in “Actas Dermo-Sifiliográficas” Persistent chemotherapy-induced alopecia (PCIA) occurs when hair regrowth is absent or incomplete beyond 6 months after chemotherapy, with an incidence ranging from 0.9% to 43%. Drugs like busulfan and taxanes are commonly associated with PCIA, which is characterized by noninflammatory alopecia and reduced hair shaft thickness. Trichoscopic evaluation is vital for predicting hair regrowth outcomes, especially in patients on adjuvant antiestrogen therapy. Scalp cooling therapies can prevent hair loss without increasing metastatic risk, improving quality of life. Topical and low-dose oral minoxidil show promise in promoting hair regrowth, while spironolactone may also be beneficial, though not yet studied as monotherapy for PCIA. Standardizing treatment response measures with trichoscopic follow-up is crucial for managing PCIA effectively.
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March 2017 in “Journal of The American Academy of Dermatology” Some breast cancer patients developed permanent hair loss after chemotherapy and hormonal therapy, showing patterns similar to common baldness and alopecia areata.
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January 2014 in “Annals of Dermatology” Some breast cancer patients on hormonal therapy may develop male or female pattern hair loss, which can sometimes be improved with topical treatments.
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September 2006 in “International journal of gynaecology and obstetrics” New treatments for PCOS focus on insulin resistance and reducing testosterone levels, along with traditional hormone therapies.
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March 2019 in “Critical Reviews in Clinical Laboratory Sciences” The androgen receptor is a promising target for breast cancer treatment, especially in triple-negative cases, but more research is needed for personalized therapies.