Differential Diagnosis for Receding Hairline and Bald Spots in an 82-Year-Old Female
- Single Most Likely Diagnosis
- Female Pattern Hair Loss (FPHL): This is the most common cause of hair loss in postmenopausal women, characterized by a receding hairline and bald spots, particularly on the top and crown of the scalp. It is often associated with hormonal changes, genetics, and aging.
- Other Likely Diagnoses
- Telogen Effluvium: A condition that can cause excessive hair shedding, often triggered by stress, hormonal changes, or medical conditions. It may present with a receding hairline and bald spots.
- Tinea Capitis (Ringworm of the Scalp): A fungal infection that can cause hair loss, often accompanied by itching, redness, and scaling.
- Alopecia Areata: An autoimmune condition that can cause patchy hair loss, which may be more noticeable in older adults.
- Do Not Miss Diagnoses
- Thyroid Disorders (Hypothyroidism or Hyperthyroidism): Both conditions can cause hair loss, and it is essential to rule out these diagnoses due to their potential impact on overall health.
- Iron Deficiency Anemia: A condition that can cause hair loss, and if left untreated, can lead to more severe health issues.
- Lupus or Other Autoimmune Disorders: These conditions can cause hair loss and have significant implications for overall health if not diagnosed and treated promptly.
- Rare Diagnoses
- Frontal Fibrosing Alopecia: A rare condition characterized by hair loss and scarring, often affecting postmenopausal women.
- Lichen Planopilaris: A rare inflammatory condition that can cause hair loss, often accompanied by itching, redness, and scaling.
- Traumatic Alopecia: Hair loss caused by physical trauma, such as excessive heat styling, tight hairstyles, or scalp injuries.