Diffused Unpatterned Alopecia – DUPA
Diffuse Unpatterned Alopecia (DUPA) is a hair loss condition in which hair thinning is seen diffusely throughout the scalp. In DUPA, there is no a reserved area with good quality hair even on the areas of the back and side which are typically designated as the donor area in hair transplant patients.
A microscopic evaluation of the scalp generally shows significant miniaturization (fineness) of scalp hair diffusely. DUPA can be seen in both men and women but its female type may at times be mistaken with typical female patterned baldness due to its close similarities.
A thorough medical evaluation with supporting lab work to rule out other causes of diffuse hair loss is always warranted before determining eligibility for a hair restoration procedure. Hair transplantation is generally not a good option for people who have DUPA due to instability of the scalp hair on the back and side areas of the scalp. Many people who have DUPA may suffer from other medical conditions that cause hair loss such as Iron Deficiency, thyroid or other hormonal imbalances or autoimmune disorders. Medical treatment such as minoxidil in women and finasteride in men could be helpful in treatment of this condition.