最后审阅: 17 五月 2021
最后更新: 01 九月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 脱发家族史
  • 前额发际线、头皮中央和头顶毛发逐渐后退或减少
  • 头皮中央弥漫性毛发稀疏,前额及颞部发际线完整

危险因素

  • 老年
  • 多囊卵巢综合征
  • 胰岛素抵抗障碍
  • 前列腺癌

诊断性检查

首要检查

  • 拔发试验
  • 甲状腺功能检测
  • 血清铁蛋白

需考虑的检查

  • FBC 和分类计数
  • 全套代谢检查组合
  • 抗核抗体
  • 快速血浆反应素试验
  • 游离睾酮
  • 血清脱氢表雄酮(dehydroepiandrosterone, DHEA)硫酸盐
  • 性激素结合球蛋白
  • 皮肤镜检查
  • 头皮活检

治疗流程

撰稿人

Associate Clinical Professor

Department of Medicine

Division of Dermatology

UCLA Medical Center

Los Angeles

CA

利益声明

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.

同行评议者展开全部内容

Director of Dermatopathology

The Dermatology Group

Verona

NJ

利益声明

MGH declares that he has no competing interests.

Professor of Dermatology

Emory University School of Medicine

Atlanta

GA

利益声明

ARS declares that he has no competing interests.

Medical Director

The Baylor Hair and Skin Research and Treatment Center

Dallas

TX

利益声明

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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