Medical dermatology
Alopecia & Hair Loss
Comprehensive evaluation and treatment of all hair loss types — from alopecia areata and androgenetic alopecia to scarring conditions.
Types of Alopecia
Non-Scarring (Reversible)
- Androgenetic alopecia (AGA) — male and female pattern hair loss; driven by DHT
- Alopecia areata (AA) — autoimmune; patchy or total hair loss
- Telogen effluvium — diffuse shedding after physiologic stress
- Traction alopecia — from tight hairstyles
Scarring (Potentially Irreversible)
- Lichen planopilaris (LPP) and frontal fibrosing alopecia (FFA)
- Discoid lupus erythematosus
- Folliculitis decalvans, dissecting cellulitis
Diagnostic Workup
- Detailed hair and medical history
- Dermatoscopy (trichoscopy)
- Labs: TSH, iron studies, ferritin, CBC, hormones, ANA
- Scalp biopsy when scarring alopecia is suspected
Treatment Options
| Type | Options | |---|---| | AGA (men) | Finasteride 1 mg, minoxidil, dutasteride, PRP | | AGA (women) | Minoxidil, spironolactone, low-level laser therapy | | Alopecia areata | Baricitinib (FDA 2022), intralesional triamcinolone, topical minoxidil | | Telogen effluvium | Address underlying cause; supportive care | | Scarring alopecias | Anti-inflammatory systemic agents; early intervention critical |
Frequently asked questions
Is baricitinib (Olumiant) FDA-approved for alopecia areata?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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