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Dealing with Hair Loss

Hair loss (alopecia) affects men and women of all ages and often significantly affects social and psychologic well-being. Although alopecia has several causes, a careful history, close attention to the appearance of the hair loss, and a few simple studies can quickly narrow the potential diagnoses.

Evaluation of Hair Loss

Evaluating and treating hair loss (alopecia) is an important part of primary care, yet it can be complex and confusing. Hair loss affects men and women of all ages and frequently has significant social and psychologic consequences.

A directed history and physical examination usually uncover the etiology of hair loss. The history should focus on when the hair loss started; whether it was gradual or involved "handfuls" of hair; and if any physical, mental, or emotional stressors occurred within the previous three to six months. Determining whether the patient is complaining of hair thinning (i.e., gradually more scalp appears) or hair shedding (i.e., large quantities of hair falling out) may clarify the etiology of the hair loss.

Source : aafp.org

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