A woman with female androgenetic alopecia (FAGA) who develops male pattern baldness may have one of several underlying conditions. Identifying the cause is essential because it determines the management strategy.
Differential diagnosis of FAGA with male pattern baldness:
(1) persistent andrenarche syndrome (with or without the SAHA syndrome)
(2) adrenal tumor secreting androgens
(3) ovarian tumor secreting androgens
(4) posthysterectomy alopecia
(5) involutional alopecia associated with aging, with or without a family history
(6) exogenous intake of androgens
(7) congenital adrenal hyperplasia
(8) Cushing syndrome
(9) polycystic ovary syndrome
(10) excess production of androgens from the ovary or adrenal gland unrelated to tumor
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