FPHL
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Widening of the central part line
Preservation of the hairline shape
Miniaturization of hair follicles
Increased hair shedding (not always present)
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Increased number of miniaturized hair follicles, a terminal to vellus ratio (T/V ratio) usually less than 2:1
Reduced size of sebaceous glands
Decreased anagen to telogen ratio
Increased number of follicular stelae
Perifollicular inflammation around the upper portion of the hair follicle with or without perifollicular fibrosis
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CYP19A1 ESR2 |
M-AGA
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Gradual hair thinning in a distinct pattern (typically at the temples and crown)
Miniaturization of hair follicles leading to finer, shorter hairs
Increased hair shedding, especially during washing or brushing
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AR MC4R EDA2R SRD5A1 SRD5A2 [2,47] |
Alopecia areata
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“Swarm of Bees” pattern
Peribulbar lymphocytic inflammation
Catagen/telogen arrest
Follicular miniaturization
Exclamation mark hairs
Dystrophic anagen hairs
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NOTCH4 C6orf10 BTNL2 HLA-DRA HLA-A IL-2 IL2RA STX17 TNXB [71,72] |
Chronic Telogen effluvium
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Excessive shedding of telogen (resting) hairs for more than six months
Generalized thinning of hair all over the scalp without visible bald patches or specific pattern
Hair regrowth usually occurs once the underlying cause is addressed
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Increased number of telogen hairs
No peribulbar inflammation
Preserved follicular structure
Absence of miniaturization
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Cdx1 VDR Taq1 VDR [73] |