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Saudi Journal of Pathology and Microbiology (SJPM)
Volume-11 | Issue-02 | 11-17
Original Research Article
Precision-Based Management of Chronic Hair Fall: A Genomic-Guided Trichology Approach - A Case Analysis from Qatar
Dr. Nada Ahmed Al-Mulla
Published : March 6, 2026
DOI : https://doi.org/10.36348/sjpm.2026.v11i02.001
Abstract
Hair loss in women represents a complex clinical challenge with profound psychosocial implications. We present the case of a young woman from Qatar who experienced severe diffuse hair fall for three years despite consulting eight dermatologists across private and public healthcare sectors. She underwent multiple interventions including hair transplantation, topical minoxidil therapy, and experimental exosome injections without adequate diagnostic workup or blood testing. Despite these treatments, her condition showed no improvement, and she experienced significant psychosocial distress compounded by harsh communication from some physicians. Subsequently, she pursued DNA-guided intervention with nutrigenomics through a specialized trichologist, representing a paradigm shift toward precision medicine in hair loss management. This case highlights critical gaps in conventional diagnostic approaches, the importance of comprehensive metabolic and genetic assessment, and the potential of personalized genomic-guided interventions in chronic hair loss. The case underscores the necessity of patient-centered care, multidisciplinary collaboration, and compassionate communication in managing conditions with significant psychological burden.
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