Smokers are known to be prone to hair loss. Even passive smoke is a suspected cause for hair loss. Despite the significant number of smokers presenting with hair loss there has been no standard protocol to induce regrowth of the lost hair in smokers. We have noted some common clinical findings in smokers.
Due to the oxidative stress created by smoking, the hair loss can mimic androgenic alopecia or accelerate the progress of androgenic alopecia. In this case we describe the clinical evaluation, trichoscopy, improved hair counts, calibre of the hair and report regrowth over the areas of hair loss in a smoker, with the use of minoxidil 2%, use of antioxidants and nutritional support using lower than recommended, once in three days, divided dose of Vitamins as a cyclical therapy.