Indicators of Diffuse Patterned Alopecia (DPA)?

Dr. Rassman,
I am a 28 year old male. I have experience hair loss since I was about 22 years old. My hair loss is most evident in my temples and vertex. However, there is significant miniturization on the whole top of my head (excluding the lower back and the sides). Is this a significant indicator of Diffuse Patterned Alopecia? In addition, I have read that men with DPA are to be treated as if they were completly bald (NC VII). Is this the case? How are the results (typically)? What can I expect you would do for me at this time assuming DPA? As a note I am on propecia and 5% minoxidil.

Get metrics (put numbers to it) on the degree and location of the miniaturization by mapping your scalp hair and establishing a pattern for predictive purposes. Propecia is the correct medication for controlling this and you need to compare the degree of miniaturization over time. Diffuse Patterned Alopecia (DPA) can lead to full balding in the pattern of thinning, but it also may not. If the degree of miniaturization is stable, then it is a good scenario — if it is worsening, then where is it getting worse? If it is better, pat yourself on the back for being very smart and thinking carefully through your Master Plan.