Blog of a Hair Loss Physician

Perifollicular Scale/Peripilar Casts

Recognizing the Normal Scalp In order to appreciate what is “abnormal” on the human scalp, one needs to fully understand what is normal and what are all the variations of normal that are possible. The normal scalp is not red and not flaky. Hairs emerge in groups of 1,2 and 3 hairs. In some cases

Early Diagnosis More Challenging that Late Stage Diagnosis Diagnosing scarring alopecias in the earliest stages is more challenging because the appearance of the scalp may not look all that unusual. The photo here is from a patient with lichen planopilaris. There are subtle features like

Regrowth in Early Treatment of Scarring Alopecias

BPPS: Brown peripilar sign in AGA

Cyclosporine for Treating Lichen Planopilaris

Hair Rounds Fall 2018 Great afternoon working with our local dermatology residents and our amazing patient volunteers who gave up their time to help teach physicians about hair loss. We learned about scalp dysesthesias and the differential diagnosis of patients with marked scalp symptoms.&

Is Shedding Increased?

New Hydroxychloroquine Dosing Hydroxychloroquine (Plaquenil) is an oral medication used int he treatment of several autoimmune diseases. In the field of hair loss, hydroxychloroquine is commonly used to treat lichen planopialris, frontal fibrosing alopecia, pseudopelade, discoid lupus and othe

EODSS

Analogy of Coffee vs Expresso

Pill Color Actually Matters

Hormonal Changed in Late Onset CAH Resemble PCOS Late onset on “non-classic” congenital adrenal hyperplasia (LOCAH) is an uncommon genetic disorder that is most often (95 % of the time) caused by mutations in 21-hydroxylase gene. This mutation leads to reduced levels of the 21 hydroxylase enzyme.