Rutgers Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA; Dermatology Service, VA New York Harbor Healthcare System, Brooklyn, NY 11209, USA.
Dermatology Service, VA New York Harbor Healthcare System, Brooklyn, NY 11209, USA; Department of Dermatology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA.
Dermatol Clin. 2021 Jul;39(3):375-381. doi: 10.1016/j.det.2021.03.003. Epub 2021 May 15.
The precise and reliable diagnosis of hair loss disorders is essential for developing a successful management plan. It is, thus, the responsibility of the dermatologist to select the appropriate diagnostic tools to effectively evaluate patients presenting with hair loss concerns. Fortunately, there is a growing body of noninvasive and invasive diagnostic resources, each with advantages and disadvantages. For the practicing dermatologist, tactile assessments and direct visualization are enhanced with scoring instruments, questionnaires, handheld trichoscopy, and scalp biopsy. For research and clinical study purposes, the more precise, high-resolution tools such as videodermoscopy, optical coherence tomography, and phototrichograms, may be useful.
准确可靠的脱发疾病诊断对于制定成功的管理计划至关重要。因此，皮肤科医生有责任选择适当的诊断工具，以有效评估有脱发问题的患者。幸运的是，现在有越来越多的非侵入性和侵入性诊断资源，每种方法都有其优点和缺点。对于执业皮肤科医生来说，触觉评估和直接可视化可以通过评分工具、问卷、手持式毛发镜检查和头皮活检来增强。对于研究和临床研究目的，更精确、高分辨率的工具，如视频皮肤镜检查、光学相干断层扫描和光电图像，可能会有用。
