{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:32:35Z","timestamp":1783467155494,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,5,17]],"date-time":"2018-05-17T00:00:00Z","timestamp":1526515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diffuse hair loss (<jats:styled-content style=\"fixed-case\">DHL<\/jats:styled-content>) is a common problem in adult women and has a major impact on quality of life. Ascertaining the etiological diagnosis is a challenging task in such patients. Satisfactory treatment can only be instituted after ascertaining the cause of hair loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To study the clinico\u2010epidemiological profile of nonscarring <jats:styled-content style=\"fixed-case\">DHL<\/jats:styled-content> in females and to ascertain its underlying etiological factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Of a total of 110 females, who presented with nonscarring <jats:styled-content style=\"fixed-case\">DHL<\/jats:styled-content> to the outpatient dermatology department, 100 qualified for inclusion in the study. A detailed history, clinical examination, and laboratory investigations were performed in all the patients. Statistical analysis was performed on the data collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 100 cases of <jats:styled-content style=\"fixed-case\">DHL<\/jats:styled-content> which were included in the study, commonest was chronic telogen effluvium (<jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content>) (62%), followed by female pattern hair loss (<jats:styled-content style=\"fixed-case\">FPHL<\/jats:styled-content>) (22%) and acute telogen effluvium (<jats:styled-content style=\"fixed-case\">ATE<\/jats:styled-content>) (16%). Incidence of hair loss was highest in 21\u201040\u00a0years age group. Psychological stress was seen to be a precipitating factor in 18 patients and found most commonly in women belong to <jats:styled-content style=\"fixed-case\">CTE<\/jats:styled-content> group (n\u201016, 25.8%). Hemoglobin levels ranged from 80 to 142\u00a0gm\/L (mean: 119\u00a0\u00b1\u00a0110). Low hemoglobin level (&lt;120\u00a0gm\/L) was observed in 57% patients. Total serum ferritin &lt;10\u00a0ng\/mL was seen in 20 patients, vitamin B12\u00a0&lt;\u00a0211\u00a0pg\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> in 76 cases, vitamin D3\u00a0&lt;\u00a030\u00a0ng\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> in 81 cases. Subclinical hypothyroidism was present in 11% cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nonscarring <jats:styled-content style=\"fixed-case\">DHL<\/jats:styled-content> is a multifactorial condition with highest incidence in 21\u2010 to 40\u2010year age group. Serum ferritin, serum vitamin B12, and D3 levels seem to have a contributing role in the pathogenesis of hair loss, and their supplementation may be needed for a faster regrowth of hair in all cases of hair loss irrespective of the pattern.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12559","type":"journal-article","created":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T05:41:26Z","timestamp":1526622086000},"page":"401-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["NonScarring Diffuse Hair Loss in Women: a Clinico\u2010Etiological Study from tertiary care center in North\u2010West India"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0450-3073","authenticated-orcid":false,"given":"Kavita","family":"Poonia","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprology Government Medical College and Hospital Chandigarh 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