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PRACTICAL MANAGEMENT OF HAIR LOSS

   
       

Table 6. Treatment of common hair diseases

Androgenetic alopecia Telogen effluvium Alopecia areata
Males:
  1. Finasteride 1.0 mg/day
  2. Minoxidil 5% solution
  3. Hair transplantation
Identify and correct triggering factor (e.g. thyroid imbalance, nutritional deficiency, drugs, etc)

Minoxidil 5% solution for chronic telogen effluvium

Adults:

<50% hair loss:

  1. Intralesional corticosteroids
  2. Minoxidil 5% solution ± corticosteroid cream or anthralin
Females:
  1. Minoxidil 5% solution
  2. Antiandrogens:
    • spironolactone
    • cyproterone acetate
    • flutamide
  3. Hair transplantation
  >50% hair loss
  1. Topical immunotherapy with diphencyprone
  2. PUVA
  3. Minoxidil 5% solution ± corticosteroid cream or anthralin
    Children:

Minoxidil 5% solution ± corticosteroid cream or anthralin

       
 
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University of British Columbia Hair Research & Treatment Centre.