1. GRADING IN
ANDROGENIC ALOPECIA

2. ALOPECIA ANDROGENETICA
• ‘COMMON BALDNESS’ / PATTERN ALOPECIA
PATTERNED LOSS OF HAIR WITH INCREASING AGE
IN GENERICALLY PREDISPOSED INDLs
• POLYGENIC INHERITANCE
(STRESS-DIATHESIS MODEL)
ANDROGENIC + GENETIC

3. TYPES OF AGA
• MALE PATTERN BALDNESS (70%)
• FEMALE PATTERN HAIR LOSS (40%)

5. GRADING : MPB
NORWOOD-HAMILTON SCALE (1970)
BOUHANA SCALE (1976)

6. NORWOOD-HAMILTON SCALE
• Dr JAMES HAMILTON (1950s)
• Dr O’TAR NORWOOD (1970s)
STAGES I – VII
VARIANTS - ANTERIOR (A) & VERTICAL (V)

9. BOUHANA SCALE
• Dr PIERRE BOUHANA (1976)
Modified Norwood-Hamilton Scale
RAPID ASSESSMENT & SCORING

11. GRADING : FPHL
LUDWIG SCALE ( I – III) 1977
OLSEN SCALE 1999
SAVIN SCALE ( I - V ) 1994
GAN – SINCLAIR ( I – V ) 2006
NORWOOD-HAMILTON SCALE (RARE)

12. BASIS OF GRADING

13. LUDWIG SCALE (1977)

14. OLSEN SCALE (1999)

15. OLSEN SCALE (1999)

16. SINCLAIR SCALE (2006)

17. SAVIN SCORE (1994)

18. THANK YOU