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What criteria should I use to refer a patient with androgenetic alopecia to a specialist?
Answer
Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025
Criteria for referring a patient with androgenetic alopecia to a specialist:
- Referral is generally considered when the diagnosis is uncertain or if there are atypical features suggesting an alternative diagnosis.
- Patients with rapid hair loss, scarring alopecia, or associated systemic symptoms should be referred for specialist assessment.
- Referral may also be appropriate if initial treatments in primary care fail or if the patient requires advanced therapeutic options or specialist advice.
- Psychological distress or significant impact on quality of life due to hair loss can also justify referral to specialist care.
Note: The provided UK guidelines do not explicitly detail referral criteria for androgenetic alopecia; however, standard clinical practice aligns with these principles based on the nature of hair loss conditions and the need for specialist input in complex or atypical cases.
Key References
- CG71 - Familial hypercholesterolaemia: identification and management
- NG12 - Suspected cancer: recognition and referral
- CG164 - Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer
- CG153 - Psoriasis: assessment and management
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