Authors : Shubhashree Panigrahi* , Mukunda Ranga Swaroop, Yogesh Devaraj, Namratha Govindaraju, Richin Anna Johnson, Greeshma Jagadish, Karthick Koravanagundhi Shantha Kumar, Lakshmi G N
DOI : 10.18231/j.ijced.2025.031
Volume : 11
Issue : 2
Year : 2025
Page No : 187-193
Introduction: Female pattern hair loss (FPHL) involves gradual thinning in the frontal, central, and parietal scalp regions and is linked to significant psychological distress. Despite its high prevalence, data on FPHL in the Indian population is limited. Dermoscopy, being a noninvasive diagnostic tool, enhances visualization of surface and subsurface structures that are not visible to the naked eye. Aim and Objectives: This study aimed to describe the clinico-epidemiological profile and trichoscopic findings of FPHL, while correlating them with disease severity in a tertiary care rural hospital. Materials and Methods: The cross-sectional descriptive study was conducted in 100 females, aged 18 years and above, clinically diagnosed with FPHL, attending the dermatology outpatient department over an 18-month period. A detailed history was obtained and scalp examination was done. The pattern of hair loss in each patient was documented, followed by a dermatoscopic examination. Results: The majority of patients were aged 18-30 years, with a mean age of 34.2 ± 10.46 years. Sinclair grade II (33%) was the most common hair loss pattern. Hair diameter diversity and yellow dots were the most frequent dermoscopic findings. Single hair follicular unit, white peripilar sign and focal atrichia were noted significantly in advanced stages (Sinclair V and Ludwig III), while BPPS was more common in early stages (Ludwig I and II). Conclusion: Trichoscopy is a valuable tool for diagnosing and predicting FPHL. Our study emphasized its importance in detecting early follicular changes before visible hair loss. Regular clinical and trichoscopic follow-ups are essential for monitoring disease progression and treatment response.