%0 Journal Article
%T Quantitative measurement of hair diameter diversity as a diagnostic indicator of androgenetic alopecia in Korean males: A cross-sectional study.
%A Park HU
%A Chung KB
%A Kim DY
%J JAAD Int
%V 15
%N 0
%D 2024 Jun
%M 38545491
暂无%R 10.1016/j.jdin.2024.02.005
%X <B>UNASSIGNED: </B>The conventional 20% threshold for hair diameter diversity (HDD), widely accepted for diagnosing androgenetic alopecia (AGA) in the vertex area, has not quantitatively analyzed.<BR><B>UNASSIGNED: </B>To validate the HDD 20% threshold for AGA and develop a refined, Korean-specific criterion.<BR><B>UNASSIGNED: </B>This study involved 240 male patients with AGA, categorized by the V stages of the basic and specific classification. Phototrichogram images of the vertex region were analyzed using Image J software for hair thickness measurement.<BR><B>UNASSIGNED: </B>Receiver operating characteristic curve analysis determined the 45 μm hair diameter threshold as the most diagnostic for AGA, with an area under the curve value of 0.884 and a Youden index of 0.659. Optimal AGA diagnosis was achieved when over 21% of hair had a diameter of ≤45 μm.<BR><B>UNASSIGNED: </B>Restriction to Korean male limits its applicability to a broader population, and using a specific hair diameter threshold does not account for individual variations in hair characteristics.<BR><B>UNASSIGNED: </B>The study validates the conventional HDD 20% threshold and proposes a more appropriate 45 μm threshold for Korean males, beyond the 40 μm. It concludes that while the HDD 20% remains a key method for early detection of vertex AGA, the definition of thin hair should be ethnicity-specific.