I am the doctor who define DUPA (Diffuse Unpatterned Alopecia) in men. It is real and tragic when it happens. About half of the men respond to the drug finasteride, while others don’t respond to any medication and hair transplants are always contraindicated. Here is the article I wrote defining it: https://newhair.com/baldingblog/wp-content/uploads/pdf/mp-1997-evaluation.pdf The diagnosis is […]
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With thyroid problems complicating your story, it is hard to tell you what is happening without having a full battery of tests in hand, including an examination of your scalp with a hand microscope. There is no substitute for a one-on-one with a good caring doctor to get control of your situation.
DUPA is extensive miniaturization in the donor area from the back and sides of your hair and it is found in some men. I am not aware of a connection between Vitamin deficiencies and this condition but if you are Vitamin deficient, address it with oral supplement.
I have a Class 3 balding pattern (just corner loss) and I went to a hair transplant doctor who offered to perform 2000 grafts in the front to address the balding area. It seemed to me that I was thinning outside of my frontal balding area. The doctor who offered me the surgery never looked […]
You have what appears to be diffuse thinning from the view in the photos below, but to make the diagnosis you need a microscopic examination of the donor area to quantify the degree of miniaturization that is present in the donor area directly at the bottom of the scalp in the back of your head. […]
We are the doctors who first wrote about DUPA. About half of the men who have gone on either finasteride or dustasteride have had benefit of their DUPA (Diffuse Unpatterned Alopecia) so don’t give up and find a doctor willing to follow you with this routine. William Rassman, M.D.
I believe there are some misconceptions here I would like to clear up. Male Pattern Balding is a genetic condition in men. In other words if a man was born with the gene(s) for MPB, he will have a hair loss in a certain predictable “pattern” (thus the term Male Pattern Balding). Scientist have found […]
Propecia works for genetic androgenic alopecia not DUPA (Diffuse Unpatterned Alopecia). Some patients may have both DUPA (hair loss throughout the entire scalp) and androgenic alopecia and in this case it may help (for the androgenic cause). Each and every case is different and as always you need to have a good diagnosis and a […]
I often get similar questions asked about finasteride and minoxidil use with DUPA. They do not usually work. Hair transplants might work if the balding area is relatively small (like a Class 3 balding pattern). Using FUE, one can select the good hairs from the donor area and use them in the small recipient area. […]
Not all Native Americans are immune to male pattern balding. Only a certain minority tribes, those whose ancestors came to North America over the Alaskan Bridge, appear not to have male pattern balding. Many Native Americans came to North America from the south and these men do have genetic balding. DUPA – Diffuse Un-Pattern Alopecia […]
Genetic hair loss in men can be inherited from your father’s side or your mother’s side of the family, which means you could have inherited the gene from either of your grandfathers. It’s possible for the expression of the gene to skip generations. I can’t tell you (no one can) that you’ll be “safe” with […]
Diffuse unpatterned alopecia (DUPA) and alopecia areata are both very rare in men, but I can not tell you what is going on without seeing you. An examination is necessary, so you should see a good dermatologist in your area who should be able to tell the difference. I wish I could provide more info, […]
DUPA (Diffuse Unpatterned Alopecia) requires extensive assessment of the donor area, which will be heavily impacted by miniaturization on such an assessment. It’s not a quick diagnosis. I can not comment on DHEA levels and its association with DUPA, though I have written about DHEA before here.
Click the photos to enlarge: You need a proper examination of your scalp. DUPA (diffuse unpatterned alopecia) will show miniaturization of the hair around the sides and back (donor area) of your head. Miniaturization can only be seen under magnification and while I do thank you for sending photos, what you sent me does […]
Anything is possible, but not probable. Alopecia areata without any treatment often will resolve over time (which can take up to one year).