Hair Loss and its Management in Children

Vibhu Mendiratta; Masarat Jabeen

Disclosures

Expert Rev Dermatol. 2011;6(6):581-590. 

In This Article

Decline in Hair Production

Androgenetic Alopecia

Androgenetic alopecia encompasses male pattern hair loss and female pattern hair loss and is identified as the most frequent cause of hair loss in adolescents (male:female ratio of 2:1). It is usually due to action of dihydrotestosterone on a genetically susceptible hair follicle leading to progressive hair miniaturization. In adolescent girls the most common patterns of hair loss are centrifugal loss at the crown and the frontal accentuation or 'christmas tree' pattern. In adolescent boys it commonly manifests as bitemporal recession and thinning in the frontal and vertex. Although the pathogenesis remains speculative, endocrine evaluation and a strict follow-up are recommended in prepubertal patients with androgenetic alopecia. Topical minoxidil and finasteride (only in male patients) is effective.[102]

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