A 10-Year Retrospective Review of Non-Scarring Alopecia in a Tertiary Hospital in Malaysia
- Author:
Yin YL
;
Chew KL
- Publication Type:Journal Article
- Keywords:
alopecia areata, androgenetic alopecia, telogen effluvium, anagen effluvium and alopecia mucinosa
- From:Malaysian Journal of Dermatology
2012;29(-):12-15
- CountryMalaysia
- Language:English
-
Abstract:
Background Non-scarring alopecia is a common hair disorder with paucity of
clinical reviews.
Objectives We aim to study the spectrum of non-scarring alopecia, its’ demographic,
clinical and treatment pattern among patients at University Malaya Medical Centre.
Methodology We have retrospectively reviewed the demography, clinical
characteristics and treatment of non-scarring alopecia at University Malaya Medical
Centre (UMMC). A total of 154 records were reviewed.
Results A majority of patients had alopecia areata (28.6%), followed by
androgenetic alopecia (12.3%), telogen effluvium (3.2%), tineacapitis (2.6%) and
unspecified hair loss (53.2). Treatment for alopecia areata included topical steroids
(53.3%), intralesional steroids (26.7%), topical minoxidil (17.8%), oral steroids
(11.1%), oral finasteride (2.2%) and oral azathiopine (2.2%). Prescribed treatment
for androgenetic alopecia comprised of topical minoxidil (68.1%) or oral finasteride
(10.5%).
Conclusion We concluded that alopecia areata was the most common cause of nonscarring
alopecia diagnosed at UMMC and deduced that the high number of patients
diagnosed with unspecified hair loss was attributed to the lack of confidence amongst
out-patient physicians in diagnosing the cause of alopecia.