Methods of hair loss evaluation in patients with endocrine disorders

Małgorzata Olszewska; Olga Warszawik; Adriana Rakowska; Monika Słowińska; Lidia Rudnicka

Vol 61, No 4 (2010)

Review paper

Submitted: 2013-02-15

Published online: 2010-08-31

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Methods of hair loss evaluation in patients with endocrine disorders

Małgorzata Olszewska, Olga Warszawik, Adriana Rakowska, Monika Słowińska, Lidia Rudnicka

Endokrynol Pol 2010;61(4):406-411.

Vol 61, No 4 (2010)

Reviews — Postgraduate Education

Submitted: 2013-02-15

Published online: 2010-08-31

Abstract

Hair loss may accompany several endocrine disorders, including hypopituitarism, hypothyreosis, hyperthyreosis, hypoparathyroidism, diabetes mellitus, growth hormone deficiency, hyperprolactinaemia, polycystic ovary syndrome, SAHA syndrome, congenital adrenal hyperplasia, Cushing syndrome, or virilising tumours. Most patients with endocrine disorders present with diffuse non-scarring alopecia, such as anagen effluvium, telogen effluvium or androgenetic alopecia. Focal non-scarring alopecia, such as alopecia areata coexisting with autoimmune thyroiditis, is less frequent and scarring alopecia is a rare finding in patients with endocrine abnormalities. In some cases an endocrine disorder may be suspected based on dermatological findings during hair loss evaluation. Classic methods of hair evaluation include hair weighing, pull test, wash test, the trichogram, and histopathological examination. Newly developed non-invasive diagnostic techniques include the phototrichogram, trichoscan, trichoscopy, and reflectance confocal microscopy. (Pol J Endocrinol 2010; 61 (4): 406-411)