Hair Biology

Vellus hair

A fine, short, lightly pigmented hair.

Vellus hairs are very fine hairs that are normally present on many areas of the body. In androgenetic alopecia, terminal scalp hairs gradually miniaturise and become more vellus-like. This is why a balding area may still contain hair, but the hairs are too fine and short to provide visible coverage. Trichoscopy and phototrichogram analysis can quantify the proportion of vellus-like hairs, helping distinguish miniaturisation from simple shedding.

References:

DermNet male pattern hair loss: https://dermnetnz.org/topics/male-pattern-hair-loss ; DermNet trichoscopy of generalised non-cicatricial hair loss: https://dermnetnz.org/topics/trichoscopy-of-generalised-noncicatricial-hair-loss

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