Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ INTRODUCTION ++ 279 ++ Features ++ Patch of complete hair loss and clean scalp Exclamation-mark hairs Small patches may recover spontaneously (~80%) ++ Treatment ++ Potent topical corticosteroids (e.g. betamethasone dipropionate 0.05% cream or lotion) bd—12 wks Intradermal injections of triamcinolone (Kenacort A10) or Minoxidil 5% 1 mL, applied bd to dry scalp (for 4 or more mths) only when hair growing +++ ANDROGENETIC ALOPECIA (MALE PATTERN BALDNESS) ++ 279 +++ Treatment for men ++ Counsel re. accepting problem Alternatives—wear toupee, wig or hair transplant ++ Medications ++ Minoxidil 5% 1 mL, applied bd to dry scalp (at least 6–12 mths) but expensive and hair loss resumes on cessation Finasteride 1 mg (o)/d for min. 2 yrs. Same problem as above +++ Treatment for women ++ Counselling Alternatives—hair styling, wigs, camouflage ++ Medications ++ Minoxidil (as for men) Spironolactone or cyproterone acetate (specialist supervision) Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.