{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:30:43Z","timestamp":1787758243696,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"\n Context:<\/jats:title>\n Hair loss is a common complaint among Indian women. For female pattern hair loss (FPHL), diagnosis is primarily clinical. In the early stages, it can be confused with other conditions. Histopathology is the diagnostic method of choice but requires multiple biopsies and can be disfiguring. Trichoscopy is an alternative noninvasive, rapid tool.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n The aim of this study is to study the hair density and hair diameter variance in relation with severity grading of FPHL.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n Cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Ninety women aged 18 years and above were included in this cross-sectional study conducted at the dermatology department of Bangalore Medical College and Research Institute. Trichoscopic examination was done with a videodermoscope (Firefly DE300) at 20 and 70-fold magnification. Only those patients who met the trichoscopic diagnostic criteria for FPHL were included.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis Used:<\/jats:title>\n Descriptive statistics, ANOVA, and Spearman's correlation test for fitness of good, using Microsoft Excel data analysis tools.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Increase in disease severity from grade one to grade three positively correlated with a decrease in hair density over the frontal scalp (\n P<\/jats:italic>\n < 0.001) and the occipital scalp (\n P<\/jats:italic>\n < 0.001), decrease in average hair shaft diameter over both frontal and occipital scalp (\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Trichoscopic tools, particularly hair density and hair diameter variance over both frontal and occipital scalp can be useful to help determine FPHL disease severity and its progression.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijt.ijt_92_20","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T07:55:35Z","timestamp":1665129335000},"page":"162-171","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A Clinico-Trichoscopic Analysis of Hair Density and Diameter Variability in Relation to Severity Grading of Female Pattern Hair Loss"],"prefix":"10.4103","volume":"14","author":[{"given":"Vishu","family":"Michelle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanathur","family":"Shilpa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Budamakuntala","family":"Leelavathy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-3-20240903","doi-asserted-by":"crossref","first-page":"e9860","DOI":"10.5812\/ijem.9860","article-title":"Female pattern hair loss","volume":"11","author":"Herskovitz","year":"2013","journal-title":"Int J Endocrinol Metab"},{"key":"R2-3-20240903","doi-asserted-by":"crossref","first-page":"626","DOI":"10.4103\/0378-6323.116732","article-title":"Female pattern hair loss","volume":"79","author":"Singal","year":"2013","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R3-3-20240903","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4103\/0974-7753.58555","article-title":"Dermoscopy in female androgenic alopecia: Method standardization and diagnostic criteria","volume":"1","author":"Rakowska","year":"2009","journal-title":"Int J Trichology"},{"key":"R4-3-20240903","first-page":"89","article-title":"Acquired disorders of hair","volume":"3","author":"Messenger","year":"2016"},{"key":"R5-3-20240903","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/j.1365-2133.1977.tb15179.x","article-title":"Classification of the types of androgenetic alopecia (common baldness) occurring in the female sex","volume":"97","author":"Ludwig","year":"1977","journal-title":"Br J Dermatol"},{"key":"R6-3-20240903","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1046\/j.1365-2133.2001.04018.x","article-title":"Hair density, hair diameter and the prevalence of female pattern hair loss","volume":"144","author":"Birch","year":"2001","journal-title":"Br J Dermatol"},{"key":"R7-3-20240903","first-page":"245","article-title":"Ageing-related features of hair and scalp in chinese women by clinical evaluation study","volume":"07","author":"Kim","year":"2017","journal-title":"J Cosmet Dermatol Sci Appl"},{"key":"R8-3-20240903","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1111\/bjd.12185","article-title":"Characteristic features of ageing in Korean women's hair and scalp","volume":"168","author":"Kim","year":"2013","journal-title":"Br J Dermatol"},{"key":"R9-3-20240903","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1046\/j.1524-4725.1999.08114.x","article-title":"Distribution of human hair in follicular units. A mathematical model for estimating the donor size in follicular unit transplantation","volume":"25","author":"Jimenez","year":"1999","journal-title":"Dermatol Surg"},{"key":"R10-3-20240903","first-page":"1578","article-title":"Hair follicle counts in Thai population: A study on the vertex scalp area","volume":"96","author":"Yaprohm","year":"2013","journal-title":"J Med Assoc Thai"},{"key":"R11-3-20240903","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1046\/j.1365-2133.2001.04350.x","article-title":"African hair growth parameters","volume":"145","author":"Loussouarn","year":"2001","journal-title":"Br J Dermatol"},{"key":"R12-3-20240903","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1001\/archderm.1984.01650400031009","article-title":"Transverse microscopic anatomy of the human scalp. A basis for a morphometric approach to disorders of the hair follicle","volume":"120","author":"Headington","year":"1984","journal-title":"Arch Dermatol"},{"key":"R13-3-20240903","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1111\/j.1365-2133.2012.11010.x","article-title":"What women want \u2013 Quantifying the perception of hair amount: An analysis of hair diameter and density changes with age in caucasian women","volume":"167","author":"Robbins","year":"2012","journal-title":"Br J Dermatol"},{"key":"R14-3-20240903","first-page":"219","article-title":"Observations on female scalp hair population, distribution, and diameter","volume":"28","author":"Cottington","year":"1977","journal-title":"J Soc Cosmet Chem"}],"container-title":["International Journal of Trichology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_92_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:11:01Z","timestamp":1787757061000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_92_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijt.ijt_92_20","relation":{},"ISSN":["0974-7753"],"issn-type":[{"value":"0974-7753","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}