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.



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.