Thank you, these concise but very informative videos are very useful for dermatologists in developing countries trying to learn trichoscopy. Please keep posting them.
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Thank you so much for sharing and teaching this. I’m suffering from hair loss and waiting for dermatologist appointment. It cleared my head that I might suffer from androgenetic alopecia. At least i gained more knowledge of my problem. Thank you.
Thank you, wish I’d watched this before my diagnosis today so I could have asked more informed questions especially regarding whether the sign was present
@@profLidiaRudnicka hi mam i have took trichoscan for my scalp to analyse why my hairs are falling in rapid amount and to check if i have AGA ,BUT the trichologist I've visited didn't explain the reports clearly,she only tried to sell their products like vitamin tablets and kits..so i didn't know the cause and whether i have androgenetic alopecia or not can you please break down ky reports please ? I'll share my reports with you
@@profLidiaRudnicka Hello doc, Im 17 and have highly sparse hair that doctors near me are quite confused and are unable to make a diagnosis whether it's telogen effluvium or aga. I don't have a receding hairline, and the hairloss is diffused and the scalp is visible in all parts of my head from back to front to temples to near ears,etc and is even. I took a trichoscan and it said that I have 25% anagen ratio and 75% telogen ratio and also that I have 4.47% vellus hair. The density of hair was 145 per cm Sq. My father has aga which he experienced in his 30s but none in my mother's side does and even my elder brother who's 20 has a really dense and thick hair. I've had b12 and vitamin D deficiencies in the past but they were taken care of but nothing changed. I also might have insulin resistance since I am quite obese and have acanthosis nigricans and skin tags and a family history of diabetes. Pls help me with this.
Thanks so much Prof! What about cases where a post menopausal woman presents with a subtly visibly wider central parting in the frontal region vs occipital, but upon trichoscopy has no miniaturisation in the frontal region? Upon trichoscopy, the only difference between the frontal and occipital region is the number of hairs per follicular unit, with the frontal region bearing units primarily of one hair, and the occipital of 2-4. Further, she may have the same miniaturisation in the fromtotemporal regions and report a history of excessive shedding, and a transition to lower density? I suspect this could be a very early presentation of AGA which resembles CTE, but I am unsure whether the lack of miniaturisation in the frontal central parting eliminates AGA.
I am sorry for the product advertising by both gentlemen in their response to your question. You are receiving solid standard treatment for the condition.
I will put it on my list, but unfortunately there are almost no specific trichoscopy features of telogen effluvium, especially when it coexists with androgenetic alopecia
After 30 plus years of hair loss I'm not sure if mine was caused by androgenic alopecia .I went through many hair and scalp changer from 19 to 23 .Before I came down with a severe case of dermatitis my hair a year earlier was oily .about 3 hours after I shampooed it .the oil residue would be noticeably present . .at the time period I seen a dermatologist I was basically prescribed like a hydrocortisone ointment and told to use a smelly tar shampoo , which actually sped up my hair loss by shedding these large flake with three to five hairs embedded in them .years later present day I solved the dermatitis by diet and had hair transplants in the late 90's .those after 20 year of not using the known meds started looking thinned out and got on finasteride and dutasteride .also oral minoxidil which worked wonders for my hair .stem cell injections I believe helped reverse some fibrosis in bald ares
I read that when there is a case of lichen planopilaris with androgenic alopecia at the same time in the same place often the diagnosis of lichen planopilaris can be missed. Could you do a video showing how to differentiate whether a condition is just androgenic alopecia or androgenic alopecia with lichen planopilaris occurring concomitantly?
@@profLidiaRudnicka Could trichoscopy also detect burnt-out LPP with AGA simultaneously? If LPP can be detected easily by trichoscopy then why do so many doctors later biopsy the affected site additionally?
Hi my hair looks normal by eye but under trichscopy i have very early aga , how do i know were to apply minoxidl, i have been told my hair is normal but i have folicles containing one thick one thinner hair , the thinner hairs are not far off the thicker hairs does this kean i have a good chance of fighting this with minoxdil im only 30 so if i start minoxidl mow does it mean it will atop working by 40 thanks
I think I have this. Im very concerned that my 10 year old daughter has this too as her part looks very noticeable. I don't know what to do. I don't want to worry her. Is it possible for a 10 year old to develop this at this age
I suggest seeing a dermatologist. It may be the normal range of a beginning of a hair-related problem. Androgenetic alopecia in 10-year-olds is rare but possible
Doctor i have pictures of my scalp with trischoscope I bought could you aid i took dutasteride finasteride minoxidil for years they not doing anything I progressd losing hair on them
@prof. Lidia Rudnicka Hello doc, Im 17 and have highly sparse hair that doctors near me are quite confused and are unable to make a diagnosis whether it's telogen effluvium or aga. I don't have a receding hairline, and the hairloss is diffused and the scalp is visible in all parts of my head from back to front to temples to near ears,etc and is even. I took a trichoscan and it said that I have 25% anagen ratio and 75% telogen ratio and also that I have 4.47% vellus hair. The density of hair was 145 per cm Sq. My father has aga which he experienced in his 30s but none in my mother's side does and even my elder brother who's 20 has a really dense and thick hair. I've had b12 and vitamin D deficiencies in the past but they were taken care of but nothing changed. I also might have insulin resistance since I am quite obese and have acanthosis nigricans and skin tags and a family history of diabetes. Pls help me with this.
75% of telogen may indicate telogen effluvium. In this case you need to look together with your doctor for the cause. Also metabolic syndrome (diabetes, obesity etc) may be a cause of hair loss. Third option- if you had sparse hair from your early childhood, it may be an inherited disease.
@@profLidiaRudnicka @prof. Lidia Rudnicka I did have fine hair always but it isn't anywhere close to where it is now , I started to notice my scalp since I was 14 ( so for around 3 years ). That was also the age when I started to gain weight. I was thin until 13 and then started to get heavier and heavier my BMI went from around 18 to 30 now. I've visited almost every doctor near me and they all were surprised to see someone like me in my age having this bad of a density especially since it doesn't look like alopecia areata. So I'm not sure if they have experience with treating a person of my age. They did do a bloodwork in which I had a really high WBC count of 11000 and also my thyroid levels were normal and testosterone was a little low at 2.1 even though it was in normal range.
Hello doctor, I have a question that is worrying me. Having hair shaft thickness or dots in a very low percentaje of the scalp is normal or is an androgenetic alopecia symptom anyway?
@@profLidiaRudnicka Sorry let me rephrase, when viewing the scalp from a trichoscope, is it normal that the vast majority of follicles have hairs of the same thickness, but there are very few exceptions where there are hairs in the same follicle with one of them thin and the other thick like the rest of the scalp? Also, In the same way, is it normal to occasionally find a white dot (empty follicle), being also an exception and being very few in the scalp? These doubts arise because I do not know if these would be symptoms of androgenetic baldness or if it is normal in a healthy scalp that exists this variability and punctual exceptions in a minor percentage.
Mam plzzz help me i want to talk to you...i have very severe issue .during combing i put white piece of cloth and i noticed many invisible hair that i can hardly saw with mobile torch only .they are fallen and they are very thin and little long hair are aslo in comb but these little tiny hair that were invisible to me...i can hardly see them with some light. I have itching on scalp.. ..with every shampoo i am unable to clean my shampoo on secretion i have some white substance in nail..i have suffered from sehbiric dermitits .but after it i cut down suger....my hair was so dense i have three begs of fallen hair....although up till now my hair growth is good...but they are falling long strands less but newly born baby hair are falling more they are so tiny lifeless and invisible.....please tell me help me what is this....i am going to in depression....mam please help .i was weeping every time when i comb and see my newly born baby hair on white cloth...they are so little invisible without light. I have facial hair too...i maintain a healthy weight and losing more . Mam plz guide me i am looking for any Angel bcz i have no enough money to go for medication...i am student...and it decreased my self confidence. Plaese mam kindly help
Mam plz give me some time for my solution....i don't know much about which kind of doctor can resolve this issue dermatologist or any other because i am not well known
Unfortunately you need to visit a dermatologist and insurance doesn't cover it. Something which I intend to try is microneedling. Search for a video that explains microneedling for hair loss.
