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Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Folliculitis decalvans, Tinea ... Broken Hair Shafts: Tinea ... postoperative) alopecia ... , Traction alopecia ... totalis, Alopecia
Hair Loss (Alopecia) - General (Diffuse and Focal) Differential Diagnosis Algorithm

DIFFUSE
Scarring - Irreversible-biopsy required
 • Lupus
Hair Loss (Alopecia ... • Androgenetic alopecia ... facial hair) • Alopecia ... Infectious • Tinea ... Shafts • Tinea
Cubital Tunnel Syndrome: Pathogenesis and clinical findings

 • Paresthesia of 5th and medial half of 4th
flexion test • + Tinel ... pathophysiology #signs #symptoms
Colchicine Toxicity 
Naturally-occurring plant alkaloid [Autumn Crocus and Glory Lilly]
2-24 hrs 
 • Severe GI distress
• Transient alopecia ... Toxicity #Toxicology #Symptoms
Secondary Disseminated Syphilis

Case from my residency that @EstradaElJefe helped me publish in JGIM. One important finding
is the patchy alopecia ... Photo #SkinRash #Alopecia
Focal / Localized Hair Loss (Alopecia) - Differential Diagnosis Algorithm

Scarring - Irreversible-biopsy required
 - Infectious
Localized Hair Loss (Alopecia ... Infectious • Tinea ... Brocq • Alopecia ... Shafts • Tinea ... Absent • Alopecia
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Hypothyroidism – symptoms ... Symptoms: Tiredness ... peripheries, Carpal timel ... Features #Signs #Symptoms
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... : Decreased symptoms ... : Symptom resolution
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
- Dermatitis, alopecia ... diagnosis #signs #symptoms
TACROLIMUS - Side Effects Mnemonic

Tremor 
Alopecia 
Cardiovascular (HTN) 
Renal insufficiency 
Oncologic (Skin Cancer) 
Lipids (hyperlipidemia) 
Insulin
Mnemonic Tremor Alopecia