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When separating it from loose anagen syndrome or telogen effluvium, the hair pull test is frequently normal. [4] Normal physical exam (skin, teeth, and nails). [4] Average physical and mental growth. [4] The diagnosis is confirmed by microscopic analysis of the hair, which displays short telogen hairs with tapering tips, indicating uncut hairs. [1]
The amount and location of the hair is measured by a Ferriman–Gallwey score. It is different from hypertrichosis, which is excessive hair growth anywhere on the body. [3] Treatments may include certain birth control pills, antiandrogens, or insulin sensitizers. [1] Hirsutism affects between 5 and 15% of women across all ethnic backgrounds. [8]
Prepubertal hypertrichosis is characterized by an excess of hair growth, seen during birth and progressing during childhood. [3] [6] In generalized hypertrichosis, excessive hair growth occurs all over the body, whereas in localized hypertrichosis, excessive hair growth only occurs in certain areas of the body. [2]
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Patients with more severe cases of loose anagen hair syndrome can be treated with minoxidil, a topical medical treatment, as a first line treatment. [3] Minoxidil can extend the duration of the hair in the anagen stage and restore the hair follicles for further growth or for the full period of the anagen phase.
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Hair in hypertrichosis is usually longer than expected [7] and may consist of any hair type (lanugo, vellus, or terminal). [18] Patterned forms of hypertrichosis cause hair growth in patterns. Generalized forms of hypertrichosis result in hair growth over the entire body. Circumscribed and localized forms lead to hair growth restricted to a ...
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