小结
病史和体格检查
关键诊断因素
- 脱发
- 非瘢痕性秃发
- 惊叹号样发
- 在秃发区皮肤表现正常
- 顶针样甲
其他诊断因素
- 自身免疫
危险因素
- 自身免疫性疾病
- 自身免疫病的家族史
诊断性检查
首要检查
- 临床诊断
- 拔发试验阳性
需考虑的检查
- 皮肤活组织检查
- 毛发镜检查
治疗流程
局限性脱发（需要治疗）
局限性脱发（不需要治疗）
广泛性脱发（需要治疗）
广泛性脱发（不需要治疗）
撰稿人
作者
Fong Seng Lim, MBBS, MMed (FM), FAMS
Senior Consultant
Department of Family Medicine
National University Health System
Singapore
利益声明
FSL served on the executive committee in the council of the College of Family Physicians Singapore until 2019.
Miny Samuel, PhD
Assistant Director
Research Support Unit
Yong Loo Lin School of Medicine
National University of Singapore
Singapore
利益声明
MS declares that she has no competing interests.
鸣谢
Dr Fong Seng Lim and Dr Miny Samuel would like to gratefully acknowledge Dr Richard A. Strick, Dr Jack Green, and Dr Paradi Mirmirani, previous contributors to this topic. RAS is an honorary member of the National Alopecia Areata Foundation (NAAF) clinical scientific advisory board. JG is an author of a reference cited in this topic. PM declares that he has no competing interests.
同行评议者
Maria Hordinsky, MD
Professor and Chair
Department of Dermatology
University of Minnesota
Minneapolis
MN
利益声明
MH declares that she has no competing interests.
Ralph M. Trueb, MD
Associate Professor
Department of Dermatology
University Hospital of Zurich
Zurich
Switzerland
利益声明
RMT is an author of a number of references cited in this topic.
鉴别诊断
- 拔毛癖
- 头癣
- 静止期脱发
更多 鉴别诊断指南
- 英国皮肤科医师协会斑秃管理指南2012
- EEMCO 脱发评估指南
更多 指南患者教育信息
Alopecia areata
更多 患者教育信息
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