Sara M Mohy, Mohamed F Abozeid, Wael M Seoudy, Ahmed Elshahid, Alaa E A Moubasher, Ashraf Hassan, Eman Elmorsy, Eman R M Hofny, Essamelden M Mohamed, Hanan Mohammed Saleh, Hanan Sabry, Khaled Gharib, Mohamed Abdelwahed Gaber, Mohamed Saad Hegazy, Mona A Atwa, Nayera Moftah, Nermeen Ibrahim Bedair, Noha Ezzat Mohammed, Samia Esmat, Tarek Ameen, Tarek Hussein, Yasser Mostafa Gohary, Mahmoud A Rageh
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Abstract
Background: Androgenetic alopecia (AGA) is a common dermatologic condition with significant psychological and social impact. Treatment remains challenging due to heterogeneity in patient response and limited long-term efficacy data.
Objective: To develop expert consensus guidelines for the diagnosis and management of AGA tailored to the Egyptian population, considering region-specific clinical and systemic factors.
Methods: A modified Delphi process was conducted in two rounds. Initially, a structured, evidence-informed questionnaire was distributed to 1,000 practicing dermatologists across Egypt; 723 completed the survey. Responses were analyzed and refined into consensus statements, which were subsequently evaluated by a panel of 20 senior dermatology professors. Statements achieving ≥75% agreement were considered consensus.
Results: Twenty-seven consensus statements were established and categorized into seven key areas: diagnosis, minoxidil, antiandrogens, low-level laser therapy, adjuvant treatments, hair transplantation, and counseling/hair aids. These recommendations reflect a synthesis of current evidence and national clinical experience.
Conclusion: This consensus provides a regionally relevant, evidence-based framework for AGA management in Egypt. It emphasizes individualized care, multidisciplinary strategies, and the integration of emerging therapies, and may serve as a model for practice in similar healthcare settings.
期刊介绍：
Clinical, Cosmetic and Investigational Dermatology is an international, peer-reviewed, open access journal that focuses on the latest clinical and experimental research in all aspects of skin disease and cosmetic interventions. Normal and pathological processes in skin development and aging, their modification and treatment, as well as basic research into histology of dermal and dermal structures that provide clinical insights and potential treatment options are key topics for the journal.
Patient satisfaction, preference, quality of life, compliance, persistence and their role in developing new management options to optimize outcomes for target conditions constitute major areas of interest.
The journal is characterized by the rapid reporting of clinical studies, reviews and original research in skin research and skin care.
All areas of dermatology will be covered; contributions will be welcomed from all clinicians and basic science researchers globally.
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