Investigation for diagnosis and evaluation of hair loss

Authors

  • Poonkiat Suchonwanit DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, RAMATHIBODI HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND

Keywords:

alopecia work up, hair loss diagnosis, hair loss evaluation, investigation of hair loss

Abstract

Hair loss is a common problem in dermatology practices today. The reliable diagnosis of hair disorders is important to develop a successful therapeutic management strategy. Although the diagnosis of hair disorders is frequently based on the clinical experience of the dermatologist, there is a variety of diagnostic techniques that are helpful in diagnosis and for evaluating the treatment response. It is important for the dermatologist to select the right diagnostic tool following the suspected clinical diagnosis. The diagnostic techniques are classified into basic procedures and innovative procedures. This article provide the essential helpful techniques used in current dermatology practice for improving the quality of patient care.

References

Shapiro J. Clinical practice: hair loss in women. N Engl J Med 2007; 357: 1620-30.

Jackson AJ, Price VH. How to diagnose hair loss. Dermatol Clin 2013; 31: 21-8.

Alkhalifah A, Alsantali A, Wang E, McElwee KJ, Shapiro J. Alopecia areata update: part I. Clinical picture, histopathology, and pathogenesis. J Am Acad Dermatol 2010; 62: 177-88.

Otberg N. Primary cicatricial alopecias. Dermatol Clin 2013; 31: 155-66.

Filbrandt R, Rufaut N, Jones L, Sinclair R. Primary cicatricial alopecia: diagnosis and treatment. CMAJ 2013; 185: 1579-85.

Mirmirani P, Huang K, Price V. A practical, algorithmic approach to diagnosing hair shaft Disorders. Int J Dermatol 2011; 50: 1-12.

Itin PH, Fistarol SK. Hair shaft abnormalities-clues to diagnosis and treatment. Dermatology 2005; 211: 63-71.

Blume-Peytavi U, Orfanos CE. Microscopy of the hair-The trichogram. In: Serup J, Jemec GBE, Grove GL, eds. Handbook of Non-Invasive Methods and the Skin 2nd ed. Boca Raton, FL, CRC Press Taylor & Francis Group, 2006: 875-81.

Blume-Peytavi U, Hillmann K, Guarrera M. Hair growth assessment techniques. In: Blume-Peytavi U, Tosti A, Whiting DA, et al, editors. Hair growth and disorders. Heidelberg, Germany: Springer; 2008. pp. 125-57.

Hillmann K, Blume-Peytavi U. Diagnosis of hair disorders. Semin Cutan Med Surg 2009; 28: 33-8.

Elston DM, McCollough ML, Angeloni VL. Vertical and transverse sections of alopecia biopsy specimens: Combining the two to maximize diagnostic yield. J Am Acad Dermatol 1995; 32: 454-7.

Miteva M, Tosti A. Hair and scalp dermatoscopy. J Am Acad Dermatol 2012; 67: 1040-8.

Hadjur C, Daty G, Madry G, Corcuff P. Cosmetic assessment of the human hair by confocal microscopy. Scanning 2002; 24: 59-64.

Hoffmann R. Trichoscan: what is new?. Dermatology 2005; 211: 54-62.

Cohen B. The cross-section trichometer: a new device for measuring hair quantity, hair loss, and hair growth. Dermatol Surg 2008; 34: 900-10.

Redler S, Brockschmidt FF, Tazi-Ahnini R, Drichel D, Birch MP, Dobson K, et al. Investigation of the male pattern baldness major genetic susceptibility loci AR/EDA2R and 20p11 in female pattern hair loss. Br J Dermatol 2012; 166: 1314-8.

Redler S, Dobson K, Drichel D, Heilmann S, Wolf S, Brockschmidt FF, et al. Investigation of six novel susceptibility loci for male androgenetic alopecia in women with female pattern hair loss. J Dermatol Sci 2013; 72: 186-8.

Nuwaihyd R, Redler S, Heilmann S, Drichel D, Wolf S, Birch P, et al. Investigation of four novel male androgenetic alopecia susceptibility loci: no association with female pattern hair loss. Arch Dermatol Res 2014; 306: 413-8.

Downloads

Published

2026-06-01

How to Cite

Suchonwanit, P. (2026). Investigation for diagnosis and evaluation of hair loss. Thai Journal of Dermatology, 31(2), 113–122. retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/282634

Issue

Section

Review article