When through densitometry you discover diffuse unpatterned miniaturization, even in the donor area in male patients, do you immediately diagnose it as DUPA or do you recommend that they rule out other causes of the miniaturization? If so, which specific tests would you recommend?
I read somewhere that a doctor told someone that low DHEA levels could cause hair miniaturization, is this true? Should someone with these symptoms get their DHEA levels checked?
DUPA (Diffuse Unpatterned Alopecia) requires extensive assessment of the donor area, which will be heavily impacted by miniaturization on such an assessment. It’s not a quick diagnosis.
I can not comment on DHEA levels and its association with DUPA, though I have written about DHEA before here.