Hair Loss - Differential Diagnosis Framework
Localized / Focal Hair Loss:
• Scarring Alopecia:
- Infectious: Dissecting cellulitis of the scalp, Folliculitis decalvans, Tinea Capitis
- Skin Disease: Discoid lupus erythematosus, Keratosis follicularis (KFSD), Lichen planopilaris, Frontal fibrosing alopecia, Pseudopelade of Brocq, Alopecia mucinosa, Aplasia Cutis
• Non-Scarring Alopecia:
- Hair Shafts Intact or Absent: Alopecia areata (+Nail pitting), Alopecia syphilitica
- Broken Hair Shafts: Tinea Capitis, Trichotillomania, Pressure-induced (postoperative) alopecia, Traction alopecia
Diffuse Hair Loss:
• Scarring Alopecia: Lupus erythematosus, Lichen planopilaris
• Non-Scarring Alopecia:
- Pattern: Androgenetic alopecia in men (male pattern hair loss), Female pattern hair loss
- Anagen Effluvium: Chemotherapy/Cytotoxic Drugs, Loose anagen syndrome
- Patches: Alopecia totalis, Alopecia universalis
- Telogen Effluvium
- Endocrine: Hypothyroidism, Hypopituitarism, Post partum
- Dietary: Iron deficiency, Zinc deficiency, Copper deficiency, Vitamin A excess, Vitamin D deficiency
- Drugs: Oral contraceptives, Lithium
- Stress: Post op, Post infection, Psychologic stress
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