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Characteristics of Androgenetic Alopecia in Asian

, M.D., Ph.D., , M.D.

Annals of Dermatology

Korean Dermatological Association; The Korean Society for Investigative Dermatology

Androgenetic alopecia, Asians

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      Abstract

      Androgenetic alopecia (AGA), or pattern hair loss, is a common disorder in Asian men and women, with a reported incidence of up to 73% among general population. There are several descriptions regarding the characteristics of AGA in patients of European descent. Asian patients with AGA have different types of hair loss and family histories from Europeans, which may affect treatment response. Therefore, in this review, prevalence, hair loss patterns, familial factors, androgen receptor gene polymorphisms of Asian AGA patients, and management based on algorithmic guidelines for AGA are discussed. This review may be useful for dermatologists in clinical practice for diagnosing and designing management approaches for Asian patients with AGA.

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      Most cited references 62

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      Male pattern baldness: classification and incidence.

       O Norwood (1975)
      The need for a widely accepted, accurate, and reproducible standard of classification for male pattern baldness has increased with the advent and increasing popularity of hair transplant surgery. This report establishes such a classification, and reports its use in determining the incidence of male pattern baldness at various ages in 1,000 white adult male subjects. The action of testosterone as an incitant in male pattern baldness is well known, but this study points out the continued effect of time, even in later years. Since most hair transplant surgery is peformed on subjects with male pattern baldness, and because the success of hair transplant surgery is largely dependent on proper patient selection, a complete understanding of male pattern baldness is essential for consistently good results with hair transplantation.
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        Patterned loss of hair in man; types and incidence.

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          Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex.

          Androgenetic alopecia in the female occurs much more frequently than is generally believed. The condition is still considered infrequent, for it differs, in its clinical picture and in the sequence of events leading to it, from common baldness in men. To facilitate an early diagnosis (desirable in view of the therapeutic possibilities by means of antiandrogens) a classification of the stages of the common form (female type) of androgenetic alopecia in women is presented. The exceptionally observed male type of androgenetic alopecia can be classified according to Hamilton or to the modification of this classification proposed by Ebling & Rook.
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            Author and article information

            Affiliations
            Department of Dermatology and Institute of Hair and Cosmetic Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
            Author notes
            Corresponding author: Won-Soo Lee, M.D., Ph.D., Department of Dermatology and Institute of Hair and Cosmetic Medicine, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju 220-701, Korea. Tel: 82-33-741-0622, Fax: 82-33-748-2650, leewonsoo@ 123456yonsei.ac.kr
            Journal
            Ann Dermatol
            Ann Dermatol
            AD
            Annals of Dermatology
            Korean Dermatological Association; The Korean Society for Investigative Dermatology
            1013-9087
            2005-3894
            August 2012
            25 July 2012
            : 24
            : 3
            : 243-252
            3412231
            22879706
            10.5021/ad.2012.24.3.243
            Copyright © 2012 The Korean Dermatological Association and The Korean Society for Investigative Dermatology

            This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

            Categories
            Review Article

            Dermatology

            asians, androgenetic alopecia

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