Chan Linda, Cook David K
MBBS, Senior Medical Resident Officer, Concord Repatriation General Hospital, Sydney Local Health District, NSW.
MBBS, FACD, Consultant Dermatologist at Concord Repatriation General Hospital, Clinical Senior Lecturer @ The Sydney University Concord Clinical School, NSW.
Aust J Gen Pract. 2018 Jul;47(7):459-464. doi: 10.31128/AJGP-02-18-4498.
Female pattern hair loss (FPHL) is a commonly encountered clinical presentation in primary care. Patterned hair loss in women is characterised by diffuse hair thinning and often becomes an ongoing cause of psychosocial distress.
The aim of this article is to present a practical approach for the clinical assessment of female hair loss and to review the up-to-date treatment modalities.
Alopecia can be the first symptom of systemic illness. It is therefore crucial for the primary care physician to be able to differentiate between FPHL and more concerning causes of hair loss. Treatment options often involve a combination of non-androgenic and androgenic therapy. The use of oral minoxidil in combination with oral spironolactone is a novel therapy with promising results. The role of the general practitioner is paramount in establishing the diagnosis, setting achievable therapeutic goals and navigating the psychosocial comorbidity associated with this chronic condition.
女性型脱发（FPHL）是初级保健中常见的临床表现。女性的型态性脱发以弥漫性头发稀疏为特征，并且常常成为心理社会困扰的持续原因。
本文的目的是介绍一种女性脱发临床评估的实用方法，并综述最新的治疗方式。
脱发可能是全身性疾病的首发症状。因此，对于初级保健医生而言，能够区分女性型脱发和更令人担忧的脱发原因至关重要。治疗选择通常涉及非雄激素和雄激素疗法的联合使用。口服米诺地尔与口服螺内酯联合使用是一种有前景的新型疗法。全科医生在确立诊断、设定可实现的治疗目标以及应对与这种慢性病相关的心理社会合并症方面的作用至关重要。
