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Correspondence
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Volume 358:533-534 January 31, 2008 Number 5
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Hair Loss in Women

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 by Shapiro, J.
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To the Editor: In the Clinical Practice article on hair loss in women by Shapiro (Oct. 18 issue),1 the assertion that "the yield of testing [for hormonal causes of female-pattern hair loss] is expected to be low in the absence of other features suggesting androgen excess" is not supported by the cited series of patients with female-pattern hair loss.2 Although the "majority" of patients in this series had normal serum androgen levels, 42 of 109 subjects had hyperandrogenism, as defined by an increase in testosterone, non–sex hormone–binding globulin-bound testosterone, dehydroepiandrosterone sulfate (DHEAS), androstenedione, or dihydrotestosterone.2 In 2 of 44 patients, . . . [Full Text of this Article]




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