Clinical Features

Clinical Features

Clinical Features:

Hair loss is patterned and non-scarring with preservation of follicular ostia. In men, there is a frontal hairline recession associated with thinning or balding of vertex or crown.


The diagnosis of male pattern baldness is based solely on clinical examination.

Female Pattern Hair Loss

Age: Hair can begin at any age from puberty onword, with average age of onset being in the 30s. Most females with androgenic alopecia a history of gradual scalp thinning over a period of time.

There is a history of telogen effluvium (excessive hair loss) which may precede a clinically obvious reduction in hair density showing a widening of the central parting with diffuse reduction in hair density mainly affecting frontal scalp and crown.

The frontal hairline is typically retained.

The Ludwing grading is most commonly used for FPHL. The Ludwig Classification uses three stages to describe female pattern genetic hair loss:

  • Type I (mild)
  • Type II (moderate)
  • Type III (extensive)
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