Type of alopeciaDistinguishing characteristics
Diffuse
Female pattern hair lossPresents with hair thinning; frontal hairline intact; negative pull test away from hair loss
Male pattern hair lossPresents with hair thinning; M pattern; negative pull test away from hair loss
Diffuse alopecia areataDistribution more patchy; positive pull test
Alopecia totalis or universalisTotal hair loss on the scalp and/or body
Telogen effluvium30 to 50 percent of hair loss three months after precipitating event; positive pull test
Anagen effluviumSudden hair loss of up to 90 percent two weeks following chemotherapy
Focal
Nonscarring
Alopecia areataNormal scalp with surrounding exclamation point hairs
Tinea capitisScaly scalp with fungus visible on potassium hydroxide examination
Traction alopeciaPatchy; related to hair practices; may have some scarring
TrichotillomaniaPatchy; may be some scarring and associated psychological disturbance
Scarring (cicatricial)Scarring and atrophy of scalp (e.g., discoid lupus erythematosus)