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Alopecia

Referrals for physiological androgenic alopecia are not routinely funded

 

Useful link: http://www.pcds.org.uk/clinical-guidance/alopecia-an-overview

 

Is this scarring alopecia?

 

Look for evidence of perifollicular inflammation + scarring e.g. shiny, smooth scalp with loss of follicular ostia.

 

Refer routinely having organized FBC, UE, LFT, ferritin, TFT, ANA please

 

Alopecia Areata:

 

PIL: http://www.bad.org.uk/for-the-public/patient-information-leaflets

 

Blood screen in primary care:  FBC, UE, LFT, ferritin, TFT, ANA.

 

Should I refer?

 

Dermatologists can trial intralesional steroids for smaller patches. However, benefit is only demonstrated in 1 in 4 patients and does not prevent new patches developing.

 

Wigs

Please refer the patient via the Advice and Guidance service. The Dermatologists can then fill out the necessary paperwork and forward to the Brown’s Coordinator, Donna Brittain who works at The Cove, RCHT. The wigs are partly funded by the patient.