Clinical practice. Hair loss in women.

Shapiro J.

This Journal feature begins with a case vignette highlighting a common clinical problem: A 45-year-old white woman presents with a 1-year history of scalp-hair loss. She was hospitalized with appendicitis 14 months ago. She has been a vegetarian for 20 years. She takes no medications. Her father was bald. On physical examination, she has diffuse, nonscarring hair thinning with a widened part over the central portion of the scalp. How should this problem be evaluated and treated? Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations.

N Engl J Med. 2007 Oct 18;357(16):1620-30.

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