Androgenetic alopecia. Diagnostic and therapeutic recommendations of the Polish Dermatological Society

Ligia Brzezińska-Wcisło; Adriana Rakowska; Lidia Rudnicka; Beata Bergler-Czop; Joanna Czuwara; Joanna Maj; Małgorzata Olszewska; Waldemar Placek; Adam Reich; Barbara Zegarska

doi:10.5114/dr.2018.74162

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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1/2018
vol. 105

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abstract:

Special paper

Androgenetic alopecia. Diagnostic and therapeutic recommendations of the Polish Dermatological Society

Ligia Brzezińska-Wcisło

,

Adriana Rakowska

,

Lidia Rudnicka

,

Beata Bergler-Czop

,

Joanna Czuwara

,

Joanna Maj

,

Małgorzata Olszewska

,

Waldemar Placek

,

Adam Reich

,

Barbara Zegarska

Dermatol Rev/Przegl Dermatol 2018, 105, 1–18

DOI: https://doi.org/10.5114/dr.2018.74162

Online publish date: 2018/03/12

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The main pathogenetic process in androgenetic alopecia is dihydrotestosterone-mediated follicular miniaturization in androgen-dependent scalp areas. Differential diagnosis is complex, especially in women, and covers a broad spectrum of non-cicatricial and cicatricial alopecias, particularly telogen effluvium and frontal fibrosing alopecia. The basic additional diagnostic procedure is trichoscopy. Currently there are two drugs approved for the treatment of androgenetic alopecia: minoxidil (in men and women) and finasteride (in men). However, medical literature indicates significantly more therapeutic options. The article presents algorithms recommended for the management of androgenetic alopecia in women and men.

keywords:

Androgenetic alopecia. Diagnostic and therapeutic recommendations of the Polish Dermatological Society

Ligia Brzezińska-Wcisło , Adriana Rakowska , Lidia Rudnicka , Beata Bergler-Czop , Joanna Czuwara , Joanna Maj , Małgorzata Olszewska , Waldemar Placek , Adam Reich , Barbara Zegarska

telogen effluvium, platelet-rich plasma, trichoscopy, spironolactone, shampoo

Ligia Brzezińska-Wcisło

,

Adriana Rakowska

,

Lidia Rudnicka

,

Beata Bergler-Czop

,

Joanna Czuwara

,

Joanna Maj

,

Małgorzata Olszewska

,

Waldemar Placek

,

Adam Reich

,

Barbara Zegarska