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Alopecia

  • Common ddx

    • male-pattern baldness, hair pulling, traction alopecia, tinea capitis, chemo
  • Serious ddx

    • syphilis
  • Labs

    • woods lamp, smear/culture if suspect fungus
    • RPR if suspect syphilis
    • TSH, ANA
    • zinc level if suspect deficiency
    • consider skin biopsy
  • Other ddx

    • alopecia areata, burn, lupus, malnutrition, zinc deficiency, severe illness
  • HPI

    • onset
    • gradual vs sudden
    • quality: patchy vs uniform, hair quality
    • quantity: how severe is the hair loss
  • ROS

    • fever, weight loss
    • skin: rash, itching
    • headache, head trauma
    • cardiopulm: chest pain, dyspnea
    • GI: nausea, vomiting, diarrhea
    • GU: genital lesions, discharge
  • PMH

    • any severe illnesses
    • eating disorders
    • chemo
  • FH

    • hair loss
  • SH

    • hair pulling, hair band usage
    • smoke, EtOH
  • Meds

  • Allergies

  • Px

    • vitals
    • gen impression, body habitus
    • skin, scalp: rash, hair loss, location, patchiness
    • hair quality (dry, thin, tapering at the base)
    • cardio, pulm, abd
    • ext: palmar rash

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.