A few common causes of hair loss account for the vast majority of case
s. A well-directed history and simple physical examination is often su
fficient to make a diagnosis. Laboratory testing is often unnecessary.
A scalp biopsy can be useful, but only if processed and interpreted c
orrectly. Androgenetic alopecia, alopecia areata, senescent alopecia,
telogen effluvium, traction alopecia, trichotillomania, and cosmetic h
air damage are common causes of nonscarring alopecia. Discoid lupus er
ythematosus, lichen planopilaris, and central, centrifugal scarring al
opecia are the most common forms of scarring hair loss.