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In all PHL cases, there is a measurable progressive shortening of the terminal hair growth duration, along with reduced linear growth rates. In both genders, PHL initially shows an increase in short telogen hairs \u226430\u00a0mm in length, reflecting a cycle completion of under 6\u00a0months in affected terminal hair follicles. To understand the miniaturisation process, we re\u2010examine the dynamics of miniaturisation and ask the question, \u201cwhy do miniaturised hair follicles resist treatment?\u201d In the light of recent developments in relation to hair regeneration, we looked back in the older literature for helpful clues \u201clost to time\u201d and reprise a 1978 Hermann Pinkus observation of an array of elastin deposits beneath the dermal papilla following subsequent anagen\/telogen transitions in male balding, originally described by Arao and Perkins who concluded that these changes provide a \u201cmorphologic marker of the entire biologic process in the balding scalp.\u201d Thus, we have reviewed the role of the elastin\u2010like bodies in hair pathology and we propose that alterations in elastin architecture may contribute to the failure of vellus\u2010like hair reverting back to their terminal status and may indicate a new area for therapeutic intervention.<\/jats:p>","DOI":"10.1111\/exd.14393","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T03:45:45Z","timestamp":1621395945000},"page":"102-109","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Following historical \u201ctracks\u201d of hair follicle miniaturisation in patterned hair loss: Are elastin bodies the forgotten aetiology?"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8340-9802","authenticated-orcid":false,"given":"D. 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