DUPA vs Senile Alopecia

Hi dr Rassmann, What is the differance between dupa and senile alopecia if any. Also my nape of the neck hairline has always been very high, my son has the same. Never been able to cut my hair really short at the back hair line, looks abit funny if i do. question is my father had senile alopecia, is the high nape of the neck hairline a symptom, or problem, when you look for dupa in a patient. Currently im a norwood 3 to 4 with good donor dominence, on meds,at 39 years old. Thanks great blog.

Both diffuse unpatterned alopecia (DUPA) and senile alopecia take on the same appearance. The former is a diagnosis made in younger men while the latter is in older men. The hair loss on the nape of the neck reflects a genetic factor present in some family lines. You can try to see if minoxidil helps with the loss of hair in the nape of the neck.