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what are the consequences of whisker type hair developing above and behind the ear in pattern baldness ?

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What are the consequences of whisker type hair developing above and behind the ear in pattern baldness

Sometimes whisker like hair develops in men above and behind the ear, as opposed to the normal position in front of the ear up to the level of ear attachment to the head. This condition was named whisker hair by Normwood but has also been referred to as "symmetrical circumscribed allotrichia". The condition involves the development of coarse hair usually preceding onset of pattern baldness. It's development is most frequently observed in young men of late teenage years or early twenties.

Only a few observations on this phenomenon have been published, but it is a commonly held belief among dermatologists that development of whisker like hair above and behind the ears is an indicator of future severe androgenetic alopecia. The underlying cause of whisker hair development is not known but is assumed to be related to the influence of androgens. The link between whisker hair and pattern baldness has not been investigated with any detail.

Some dermatologists believe this whisker hair defect is just a different presentation of acquired progressive kinking that is sometimes observed in the initial stages of male pattern baldness. Sometimes the hair condition is confused with a hair shaft defect called "woolly hair nevus" that has no association with androgenetic alopecia.


What are the consequences of whisker type hair developing above and behind the ear in pattern baldness references

  • Norwood OT. Whisker hair - an update. Cutis. 1981 Jun;27(6):651-2.
  • Norwood OT. Whisker hair. Arch Dermatol. 1979 Aug;115(8):930-1.
  • Wantzin GL, Thomsen K. Whisker hair - a common entity? Acta Derm Venereol. 1986;66(5):457.
  • Knierer W. Allotrichia circumscripta symmetrica capilliti. Dermatologische Wochenschrift. 1955; 151:794-8.

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