Description

Some patients may develop both androgenetic alopecia and chronic telogen effluvium (CTE). Rebora et al used a simple screening method to evaluate a patient for both conditions. The authors are from the University of Genoa.


 

Patients studied: 71 women, 29 men, ages 14 to 78 years

Exclusions: alopecia areata, scarring alopecia, short clipped hair

 

The longest scalp hairs should be > 5 cm in length. If only 2 hair group lengths are going to be used (see below) then the longest hairs should be > 3 cm in length.

 

Protocol:

(1) The patient washed the hair using a standard protocol.

(2) The number of hairs shed during the shampoo were collected and dried.

(3) The hairs were divided into 3 groups, each of which was counted:

(3a) <= 3 cm

(3b) 3.01 to 4.99 cm

(3c) >= 5 cm

 

total number of hairs =

= SUM(points for all 3 groups)

 

percent of vellus hairs (those <= 3 cm) =

= (number less than or equal to 3 cm in length) / (total number of hairs)

 

Total Number of Hairs

Percent of Vellus Hairs

Diagnosis

< 100

>= 10%

AGA

>= 100

< 10%

CTE

>= 100

>= 10%

AGA + CTE

< 100

< 10%

CTE in remission

 

Limitations:

• Variation in shampooing.

• Inaccuracies in counting hairs.

• Inaccuracies in measuring hairs.

 


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