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ORIGINAL ARTICLE
Year : 2019  |  Volume : 23  |  Issue : 2  |  Page : 81-85

Headcover and male-pattern hair loss: A cross-sectional study


1 Division of Dermatology, College of Medicine; King Abdullah International Medical Research Center; Research Unit, Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arbia
2 Division of Dermatology, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3 Division of Dermatology, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arbia
4 Research Unit, Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arbia

Correspondence Address:
Dr. Mohammed I AlJasser
Division of Dermatology, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh 11481
Saudi Arbia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdds.jdds_18_19

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Background: Androgenetic alopecia (AGA) is the most common form of alopecia. The interaction of genetics and environmental factors likely plays a role in its pathogenesis. Several environmental factors have been studied in relation to the severity of AGA; however, the effect of headcover has not been properly assessed. Objectives: The objective of this study is to assess the severity of male-pattern hair loss (MPHL) in relation to headcover. Methods: Adult males with varying degrees of MPHL were recruited during the period from May 2016 to August 2017. Data included demographics and type of headcover. The total duration of headcover was calculated for every participant in years. Assessment of MPHL was performed using the Norwood–Hamilton classification. Results: A total of 865 participants with MPHL were enrolled. No statistically significant difference in the severity of MPHL was found between participants who covered their head frequently as compared to those who did not (P = 0.952). Multivariate logistic regression analysis showed that age was the only factor associated with increased severity of MPHL. Conclusions: Males who cover their head do not appear to have increased overall severity of MPHL.


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