S1 Guideline for Diagnostic Evaluation in Androgenetic Alopecia in Men, Women and Adolescents

Table 1.  Diagnostic evaluation form for androgenetic alopecia

1. History
Age	___ years
Sex	□ Male
	□ Female
First manifestation of hair loss	Age: ___
Course of hair loss	□ Acute
	□ Chronic – Intermittent
	□ Chronic – Persistent
Complaining of increased shedding of hair	□ Moderate
	□ Severe
	□ No
Complaining of increased thinning of hair	□ Diffuse
	□ Localized
	□ No
Itching	□ Yes □ No
Dandruff	□ Yes □ No
Trichodynia	□ Yes □ No
Family history of androgenetic alopecia	□ Yes
	□ Mother/maternal side □ Father/paternal side
	□ No
Concomitant diseases (chronic, autoimmune, recently diagnosed, with possibly chronologic relation to hair loss)	___________
Previous surgery	___________
Eating behaviour
Strictly vegetarian diet	□ Yes □ No
Crash diet or eating behaviour disorders	□ Yes □ No
Important weight loss > 5–10 kg	□ Yes □ No
Weight	___________
Height	___________
Drug history (e.g. pro-androgenic, antithyroid, anti-epiletics, β-blocker, chemotherapeutics, supplements)	Please provide details: ___________
Smoking	□ Yes □ No
Only in women
Menstrual cycle	□ Regular □ Irregular
Menopause	___________
Oligomenorrhoea	□ Yes □ No
Amenorrhoea	□ Yes □ No
Since when	___________
Hormonal contraception	□ Yes □ No
Hormonal replacement therapy	□ Yes □ No
Fertility treatment	□ Yes □ No
Specify drug and duration	___________
Succesful and unsuccessful pregnancies	___________
Excessive facial and/or body hair growth	□ Yes □ No
Skin changes (acne)	□ Yes □ No
Seborrhoea of scalp/skin	□ Yes □ No
In children and adolescents
Hair loss	□ Congenital □ Acquired
Signs of pubertal development	□ Yes □ No
If yes, at which age	___________
	□ Mature □ Premature
2. Clinical examination
Hair density	□ Normal
	□ Decreased
	□ Pattern distribution
	□ Alopecic patches
Scalp skin	□ Normal
	□ Erythema
	□ Scaling
	□ Seborrhoea
	□ Pustules
	□ Signs of scarring
	□ Others (e.g. psoriasis, pigmentation)
Eyebrows/eyelashes	□ Normal
	□ Abnormal
Facial and body hair	□ Normal
	□ Excessive hair growth/hirsutism
	□ Decreased axillary hair
	□ Decreased pubic hair
Signs of acne	□ Yes □ No
3. Laboratory
Iron, ferritin	□
TSH	□
Blood haemoglobin	□
TPHA/RPR if indicated by clinical DD	□
In women only, if hormonal dysregulation is suspected
FAI [total testosterone (nmol L−1) × 100 SHBG (nmol L−1)]	□
DHEAS	□
Prolactin	□
4. Hair examination tests
Pull test	□
(Video-) Dermoscopy/loupe	□
Hair shaft examination	□
Trichogram	□
Biopsy	□

DD, differential diagnosis; DHEAS, dehydroepiandrosterone sulphate; FAI, free androgen index test; RPR, rapid plasma regain; SHBG, sex hormone-binding globulin; TPHA, treponemal haemagglutinin assay; TSH, thyroid-stimulating hormone.

Authors and Disclosures

U. Blume-Peytavi, A. Blumeyer, A. Tosti,* A. Finner,† V. Marmol,‡ M. Trakatelli,§ P. Reygagne¶ and A. Messenger**; the European Consensus Group

Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
*Department of Dermatology, University of Bolognia, Italy
†Private Practices, Berlin, Leipzig, Germany
‡Private Practice, Bruxelles, Belgium
§Department of Dermatology and Venereology, Papageorgiou Hospital, Aristotle University, Thessaloniki, Greece
¶Centre Sabouraud, Hôpital St Louis, Paris, France
**Department of Dermatology, University of Sheffield, U.K.

Correspondence
Ulrike Blume-Peytavi. E-mail: ulrike.blume-peytavi@charite.de

Sidebar

What's Already Known About This Topic?

• Androgenetic alopecia is the most common hair loss disorder.

• It causes significant impairment of life.

What Does This Study Add?

• Androgenetic alopecia is the most common hair loss disorder.

• It causes significant impairment of life.