Dermatology & Plastic Surgery Institute Outcomes
Characterizing Hair Loss in Patients 65 and Older
As the population ages, more patients are likely to present with concerns of hair loss. Hair loss with age may be physiologic due to the aging of hair follicles, hormonal changes, or consequences of various systemic diseases and medications.¹ An estimated 53% of men and 37% of women over 65 are balding; however, data regarding frequency and representation of hair loss conditions with advancing age are lacking.²⁻³ The study investigated hair loss characteristics among the elderly seen in a tertiary referral center.
Patients (≥ 65 years) seen for the first time at Cleveland Clinic without a history of hair loss were identified in the period from 2004 to 2014 (N = 163). Patients presented with all types of hair loss, including telogen effluvium (TE), lichen planopilaris (LPP), androgenetic alopecia (AGA), alopecia areata (AA), frontal fibrosing alopecia (FFA), and central cicatricial centrifugal alopecia (CCCA). The vast majority of patients were white females except for those with CCCA, who were all African American. Patients with AA and TE tended to wait the shortest period of time before their initial visit, while patients with FFA and AGA waited the longest. Worsening hair loss at initial visit was present in LPP, CCCA, and TE. Associated symptoms were most common among patients with scarring alopecia.
Demographic and Clinical Characteristics of Patients (≥ 65 years) With Hair Loss (N = 163)
2004 – 2014
TE = telogen effluvian, AGA = androgenic alopecia, AA = alopecia areata, LPP = lichen planopilaris, FFA = frontal fibrosing alopecia, CCCA = central cicatricial centrifugal alopecia
Hormonal and Nutritional Characteristics of Patients with Hair Loss (N = 163)
2004 – 2014
TE = telogen effluvian, AGA = androgenic alopecia, AA = alopecia areata, LPP = lichen planopilaris, FFA = frontal fibrosing alopecia, CCCA = central cicatricial centrifugal alopecia, DHEA-S = dehydroepiandrosterone sulfate, TSH = thyroid stimulating hormone