J Cosmet Dermatol. 2012 Jun;11(2):131-3. doi: 10.1111/j.1473-2165.2012.00607.x.
Female pattern hair loss (FPHL) was originally described as synonymous with androgenetic alopecia. However, the role of androgens in FPHL has not been proven, and the etiology is not yet defined. Several patterns of hair loss in women have been described, in addition to descriptions of scarring alopecias mimicking FPHL. In this paper, we discuss FPHL as an entity other than androgenetic alopecia and suggest that de-emphasizing the physicians reliance on pattern in the diagnosis of hair loss in women, and instead utilizing other tools including dermoscopy and histopathology, would benefit clinician's efforts in treating alopecias.
女性型脱发(FPHL)最初被描述为与雄激素性脱发同义。然而,雄激素在 FPHL 中的作用尚未得到证实,病因也尚未确定。除了模仿 FPHL 的瘢痕性脱发外,女性还有几种脱发模式。在本文中,我们将 FPHL 视为一种不同于雄激素性脱发的实体,并建议医生在诊断女性脱发时,减少对脱发模式的依赖,转而利用其他工具,包括皮肤镜和组织病理学,这将有助于医生治疗脱发。