Androgenetic alopecia, also known as androgenic alopecia, androgenetic alopecia, and seborrheic alopecia, is a type of permanent hair loss that can develop in both men and women.
Diagnosis is based on.
①The diagnosis is mainly based on the clinical pattern of hair loss (upward and backward movement of the hairline at the temples and forehead, thinning and thinning of the hair on the top of the head, etc.).
② Combine with family genetic history.
③Microscopic examination of hair.
④Hair light pull test.
Disease classification
According to the degree of hair loss, men are classified into grade Ⅰ~Ⅶ (Hamilton grading method) and women are classified into grade Ⅰ~Ⅲ (Ludwig grading method).
Determination of efficacy.
①Naked eye observation. Judgment of efficacy based on hair loss and hair recovery, before and after comparison.
②Fixed head position photography, before and after comparison.
③Microscopic examination of hair.
④Hair light pull test.
Laboratory tests: blood routine, blood viscosity, liver and kidney function or biochemistry, thyroid function, total prostate-specific antigen. With hirsutism, seborrhea, acne to check reproductive hormones.
Treatment.
① General treatment medication: Western medicine such as cystine, calcium pantothenate, vitamin B, zinc.
② Topical application of 5% minoxidil tincture, once in the morning and once in the evening. A small number of patients will have local irritation.
③Finasteride is given orally, 1mg, qd. Very few patients will experience mild hypogonadism.
④Seborrhea, increased dandruff and scalp itching are treated with Hilsen lotion and compound bitter ginseng lotion for hair washing.
⑤ Chinese medicine evidence-based treatment. You can choose Chinese medicine such as Liu Wei Di Huang Wan, Wu Ling Capsules, Nourishing Blood and Hair Capsules, etc.
⑥Antiandrogen therapy: Amphiregulin, Cimetidine
(7) Severe (male grade VI and above, female grade III) patients are recommended to have hair transplantation.
Questions to be noted in the inquiry.
1. Sleep condition, mental, emotional and stress condition.
2.Previous treatment.
3, history of previous diseases, previous nutrition, medication history.
4. Female patients need to clarify the menstrual status.