I Thought DUPA Was Diffuse All Over the Scalp?

In response to My Hair on Top is Thick, But My Sides Are Thinning Quickly!

You said, “If you are thinning only on the sides, something that I have rarely seen, it’s often associated with diffuse unpatterned alopecia (DUPA).”

Doctor….How the heck can he have DUPA if only his sides are thinning and not the top? Makes no sense.

You’re right. In the above referenced post, I was a little quick in my reply. Perhaps what I should’ve said in addition to the above quote is, “There may be additional miniaturization in the front, top, and crown that you’re not noticing, but if the hair is longer it could be more difficult to detect.”

Generally if the sides of the head have significant miniaturization, the rest of the hair on the scalp will also show the same. The degree of miniaturization may not be the same in different parts of the scalp, though. As I can’t see the hair loss through text sent in an email, I have to make guesses (educated or otherwise) when trying to answer a question like this. The individual needs to be seen by a doctor to examine their scalp, since who knows what is actually happening with their hair loss.

So just to clarify once more… in the case of someone losing hair on the sides of their head, chances are good that there will be hair loss elsewhere on the scalp. I apologize I wasn’t more clear about that in my earlier reply.