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Male Pattern Hair Loss

I Scream, You Scream, We all scream for Hair Loss…

Men note a gradual recession of the frontal hairline early in the process. Men present with gradual thinning in the temporal areas, producing a reshaping of the anterior part of the hairline. This creates a very odd look.

Androgenetic alopecia, or pattern alopecia, is an extremely common disorder affecting both men and women older than 40. The incidence of androgenetic alopecia is generally considered to be greater in males than females, although some evidence suggests that the apparent differences in incidence may be a reflection of different expression in males and females.

Signs of androgenetic alopecia include the following:

  • Gradual onset of a receeding hairline.
  • Increased hair shedding
  • Transition in the involved areas from large, thick, pigmented terminal hairs to thinner, shorter, indeterminate hairs and finally to short, wispy, non-pigmented vellus hairs
  • End result can be an area of total denudation; this area varies from patient to patient and is usually most marked at the vertex
  • Diffuse alopecia areata may mimic the androgenetic form. The presence of exclamation point hairs, pitted nails, or a history of periodic regrowth or tapered fractures noted on hair counts suggests the diagnosis of diffuse alopecia areata.

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