The problem of hair loss is a problem for all age groups, but in addition, every year it becomes more and more relevant. With age, hair loses its elasticity and becomes dry, brittle and dull. As hair grows, it stops growing or loses its pigment. These are the symptoms that characterize senile alopecia.
Senile alopecia is a process of slow loss of colorless, fading, thinned and brittle hairs, replaced by pigmented hairs with signs of fragmented baldness similar to androgenetic alopecia (hair falls out in places where the lines are located - the so-called resistance lines)
The main symptom of alopecia is: hair thinning, thinning, breakage at the ends and loss of shine. Baldness is most often diffuse in nature. Some patients develop focal baldness. Frontal baldness is common, but sometimes baldness affects the entire front surface of the head and the hair on the eyebrows and eyelashes.
In case of alopecia in the affected areas, the skin is not changed, there are no scars, and the hair lines are preserved. For diagnosis, trichoscopy is performed - microscopy of hair on trichograms. This makes it possible to identify the severity of baldness in comparison with the size of the scalp, its relief and the state of the hair buds above the boundaries of hair loss. The trichogram shows dystrophic processes (whitening, split ends, decreased pigmentation). Based on these trichoscopy results, the degree of baldness according to the Ludwig classification can be determined.