Última revisão: 3 Nov 2020
Última atualização: 01 Set 2020

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • presença de fatores de risco
  • história familiar de alopécia
  • regressão gradual da linha capilar frontal, central e da coroa (vértice)
  • afinamento difuso da parte central do couro cabeludo com preservação da linha capilar frontotemporal

Fatores de risco

  • idade avançada
  • síndrome do ovário policístico nas mulheres
  • distúrbios de resistência insulínica
  • câncer de próstata

Exames diagnósticos

1° exames a serem solicitados

  • teste de tração do cabelo
  • teste da função tireoidiana
  • ferritina sérica
Mais 1° exames a serem solicitados

Exames a serem considerados

  • Hemograma completo com diferencial
  • perfil metabólico completo
  • fator antinuclear
  • reagina plasmática rápida
  • testosterona livre
  • sulfato de prasterona (DHEA) sérico
  • globulina ligadora de hormônios sexuais
  • dermatoscopia
  • biópsia do couro cabeludo
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Associate Clinical Professor

Department of Medicine

Division of Dermatology

UCLA Medical Center

Los Angeles

CA

Divulgações

CG has spoken for the International Society of Hair Restoration Surgeons, the American Academy of Dermatology, the Pacific Dermatologic Association, and has had manuscripts published in a variety of journals.

Dr Carolyn Goh would like to gratefully acknowledge Dr Robert Haber, Dr Christiane Querfeld, and Dr Christopher R. Shea, previous contributors to this topic. RH has an ownership interest in a company that manufactures light-based hair growth devices and receives royalties for the sales of a surgical device used in hair restoration surgery. CQ and CRS declare that they have no competing interests.

Colegas revisoresMOSTRAR TODOS

Director of Dermatopathology

The Dermatology Group

Verona

NJ

Divulgações

MGH declares that he has no competing interests.

Professor of Dermatology

Emory University School of Medicine

Atlanta

GA

Divulgações

ARS declares that he has no competing interests.

Medical Director

The Baylor Hair and Skin Research and Treatment Center

Dallas

TX

Divulgações

DW is an author of a number of references cited in this topic. We have since been made aware that Dr David Whiting is deceased.

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