To update you on:
- The diagnosis and management of a variety of causes of alopecia, including alopecia areata, tinea capitis and scarring causes of alopecia
- The diagnosis and management of androgenetic alopecia in men and women
- The treatments that are or aren’t available on the NHS
- Provision of wigs on the NHS for patients with alopecia
Dr Toni Hazell is a GP in north London
Case Study 1 – Miss M
Miss M is a 34 year old woman who has come to see you about her hair loss. She tells you that over the last couple of months she has noticed her hair gradually thinning – whenever she has a shower there are lots of hairs in the plughole afterwards and they come out on her hairbrush. She hasn’t noticed any bald patches, but she is concerned that if this carries on it will become more noticeable. You examine her scalp which appears normal. She has hair down to the middle of her back and you can’t see any obvious areas of thinning, but she assures you that it is much thinner than it was a few months ago.
From the information given, what is the most likely diagnosis?
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