Workup of pattern hair loss in men and women
History |
Age of onset, time course, severity, hair loss distribution, progression (periods of shedding), accompanying symptoms |
Medical history |
Gynecologic history |
Medication and supplement list |
Family history of hair loss, androgen excess, and metabolic disease |
Physical examination |
Distribution of hair loss |
Hair caliber and texture |
Clinical features of scalp |
Nail changes |
Hair-pull test |
Dermoscopy |
Scalp biopsy |
Laboratory testing |
Complete blood cell count |
Comprehensive metabolic panel |
Antithyroid antibody testing |
Thyroid-stimulating hormone with or without free thyroxine |
Iron evaluation (serum ferritin, serum iron, total iron-binding capacity) |
Free and/or total testosterone |
Dehydroepiandrosterone sulfate |
Serum prolactin |
Zinc |
Hydroxy-25 vitamin D |