Case Number : Case 2163 - 24 September 2018 Posted By: Limin Yu

Androgenic alopecia

Variation in follicle size,  miniature follicles and scant inflammation all suggest androgenetic alopecia (assuming that the biopsy is from frontal scalp or vertex. 

follicular miniaturisation present  in 4 follicles. there is no inflammation

Androgenic alopecia

That is not the best level to give a diagnosis of alopecia (scalp subcutaneous tissue), as many other disease can present with follicular miniaturization, but considering that there´s no more pictures or levels to analise we can assume that the best diagnosis here is androgenetic alopecia.

Pattern alopecia based on sections provided. I correlate with clinical. Can see similar changes in telogen effluvium

I'd be tempted to say "Yes this could be alopecia, looks non-scarring"

Is this really the clinical history? If so the clinician might consider job??? 

I suspect I'm getting too old as has been implied.

Agree we'd want to level a bit just in case some more diagnostic features appear.