If I’m Diagnosed with MPB, Can It Later Turn Into DUPA?

Dear Dr. Rassman
I was curious if one is diagnose with MPB on the hamilton scale. Is it possible for that person to later develop DUPA in the future randomly. Or once you have MPB that the route you will go according to the hamilton scale. Hope that makes sense. thank you (great blog site by the way)

That is a great question. To give you a specific response, I’d need to know if you had miniaturization study done (and the results of this). For a more general answer, although male pattern baldness (MPB) and diffuse unpatterned alopecia (DUPA) are both classified as androgenic alopecia, it is unlikely that you would go from MPB to DUPA — although I suppose anything is possible. DUPA is more common in women.