Hello Dr. Rassman

I have a question about a condition I’ve had since the age of 17. During school i first noticed that the hair on the sides of my head started to thin, i then noticed general thinning of my entire scalp hair, i noticed the thinnest hair coming from the crown. as a few years pasted i noticed slight recession on both sides of my hairline.

What i find bizarre is that I’m now approaching 26 and still have pretty good coverage, the only thing I’ve noticed in the last 3 years is 2-3 tiny bald spots in random locations across the scalp (no conventional pattern) my crown thinning has not to my knowledge progressed

What i can tell you is that i am a male, my mother also has entire scalp thinning, but even thinner than mine but no slight recession. i always remember my mother having hair like this.

My father who’s 69 has still got quite a lot of hair, in fact he only started losing a bit of hair around his early 60’s.

If i do in fact have DUPA what does the future hold for me in terms of further hairloss?

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I do not know what you have, but if you have diffuse unpatterned alopecia (DUPA), then in the future you will have diffuse thinning in no particular pattern. I have no way to know how much more you will lose hair though, as everyone is different.

There is a cosmetic treatment for DUPA patients, called Scalp MicroPigmentation (SMP). It is not a cure by any means, but it can make you look fuller. In any event, you should see a doctor and get a diagnosis.

Tags: hairloss, hair loss, dupa