Silver Lab Alopecia: Symptoms, Preventing, & CDA Management

When I first encountered Color Dilution Alopecia (CDA) in a friend’s Silver Labrador I came to know that these are Silver Lab Coat Issues. I was struck by how this genetic condition could affect such a beautiful breed.

The Silver Labrador is cherished for its unique silver coat, a result of diluted coat colors like reds, browns, blacks, and tans.

However, this beautiful appearance may sometimes mask a genetic condition known as Color Dilution Alopecia (CDA).

Found in dogs bred for blue or light fawn coats, CDA leads to patchy hair loss, itchy skin, and even recurring bacterial infections. Despite its cosmetic implications, CDA typically poses no direct health risk to the affected breeds, including Silver Labs.

This inherited disorder, linked to follicular dysplasia, disrupts the hair cycle by causing follicles to self-destruct, making new growth impossible.

Symptoms like scaliness, pruritus, and permanent hair loss often confuse owners, as conditions like hypotrichosis or alopecia X may appear similar.

By understanding the causes, symptoms, and treatment options for this skin condition, owners can better navigate the challenges of managing their pet’s care.

This article explores the essential information about Silver Lab alopecia, providing insights to help you make informed decisions about your pet’s well-being.

Silver Lab Coat Issues

Silver Labs have a stunning, silver-gray coat that sets them apart, but they can experience certain coat-related issues.

One common problem is coat dilution alopecia (CDA), a genetic condition linked to the dilute gene responsible for their unique color. CDA can cause hair thinning, dry skin, and patchy bald spots, making regular coat care essential.

Additionally, Silver Labs may be prone to hot spots, excessive shedding, and skin allergies, which can be triggered by environmental factors, diet, or grooming habits.

Ensuring a nutrient-rich diet, regular brushing, and vet-approved skincare routines can help maintain a healthy, glossy coat.

When comparing male vs. female Silver Lab coat issues, males often develop a thicker, denser coat, which can lead to increased shedding, especially during seasonal coat changes. Regular grooming and deshedding tools can help manage this.

Female Silver Labs, on the other hand, may experience coat thinning and texture changes due to hormonal shifts, particularly during heat cycles or after pregnancy.

Providing omega-rich supplements, proper hydration, and stress management can help females maintain a smooth and healthy coat.

Regardless of gender, proper coat care, regular check-ups, and a balanced diet are crucial for keeping a Silver Lab’s fur in top condition.

What is Color Dilution Alopecia (CDA)?

CDA, commonly found in dogs bred for diluted coat colors like blue or fawn, targets the follicles beneath the skin, causing them to self-destruct.

This results in patchy hair loss, itchy skin, and a scaly appearance that is not only uncomfortable for the dog but can also confuse owners.

Many mistake it for conditions like hypotrichosis or alopecia X, but CDA is unique in its connection to inherited follicular dysplasia.

While managing a dog with CDA can seem overwhelming, I’ve seen firsthand how understanding its causes, addressing recurring bacterial infections, and focusing on treatment options can bring comfort and relief to both pets and owners.

Definition and Explanation of CDA

Color Dilution Alopecia (CDA) is a genetic condition that specifically affects the hair follicles, causing them to weaken and eventually self-destruct.

This leads to patchy hair loss, scaliness, and sometimes itchy skin. The condition is closely tied to the dilution gene, which lightens the natural coat color.

In Silver Labradors, this gene gives their stunning silver-gray coats but also increases the risk of alopecia due to the delicate structure of their follicles.

Genetic Mechanisms

The dilution gene causes a lightening effect by reducing the concentration of pigment in the dog’s coat, resulting in colors like silver, blue, or fawn. However, this same genetic modification weakens the hair structure, making it prone to damage and loss.

CDA is inherited as a recessive trait, meaning that both parents must carry the dilution gene for their puppies to inherit the condition. Breeders often emphasize the importance of genetic testing to identify carriers and reduce the likelihood of passing this condition to future generations.

Prevalence in Silver Labradors

Silver Labradors are especially prone to CDA because of their rare diluted coat color, which is a result of selective breeding.

While other breeds with diluted colors, such as Chihuahuas or Dobermans, can also develop CDA, the condition is particularly notable in Silver Labs due to their growing popularity and the increased demand for their unique appearance.

Understanding this connection helps owners take proactive steps in managing and caring for their pets effectively.

Symptoms and Diagnosis of Silver Lab Alopecia

Silver Lab Alopecia, a result of Color Dilution Alopecia (CDA), presents several noticeable symptoms that can help owners identify the condition early. Dogs affected by CDA often exhibit patchy hair loss on their blue-gray or silver coats, starting from a young age.

This hair loss may be accompanied by dry, scaly skin, and in some cases, the dog may experience persistent itching or discomfort. Over time, these symptoms may lead to secondary issues like bacterial infections or inflammation.

Diagnosing CDA involves a combination of visual observation and veterinary testing. Veterinarians typically begin by examining the dog’s coat and skin condition, noting the characteristic pattern of hair loss.

To confirm the diagnosis, a skin biopsy may be performed to evaluate the hair follicles under a microscope. This test can differentiate CDA from other conditions like hypotrichosis, alopecia X, or hormonal disorders. Early and accurate diagnosis is key to managing the symptoms and improving the dog’s overall quality of life.

Key Symptoms of Alopecia in Silver Labradors

Silver Labradors affected by Color Dilution Alopecia (CDA) often exhibit distinct symptoms. Recognizing these early can help in seeking timely treatment.

Common Symptoms

Symptom	Description
Patchy Hair Loss	Thinning or loss of hair in specific areas, such as the ears, tail, or abdomen.
Dry and Flaky Skin	Skin beneath the hairless spots appears dry, flaky, or irritated.
Bald Patches	Clearly visible bald spots, are often concentrated in specific regions.
Discoloration of Skin	Affected areas may appear lighter or lack pigmentation entirely.
Secondary Infections	Hairless or irritated spots may lead to bacterial or fungal infections.

Diagnosis Process

Diagnosing CDA requires a methodical approach to rule out other potential causes of hair loss:

1. Physical Examination:

1. • A vet examines the dog’s coat and skin condition, noting the pattern and extent of hair loss.

2. Skin Biopsy:

1. • A small sample of skin is collected and analyzed under a microscope to confirm damage to hair follicles, typical of CDA.

3. Ruling Out Other Causes:

1. • Tests for parasites, allergies, or hormonal imbalances ensure the condition isn’t due to other health issues.

4. Genetic Testing:

1. • DNA testing can identify the presence of the dilution gene, which confirms if the dog is genetically predisposed to CDA.

Differentiating CDA from Other Skin Conditions

It is crucial to distinguish CDA from other conditions that may mimic its symptoms:

Condition	Key Differentiator
Allergies	Often accompanied by intense itching and redness, not limited to diluted coats.
Dermatitis	Inflammation or sores on the skin due to irritants, not genetic.
Hormonal Imbalances	Hair loss is usually symmetrical and may occur alongside other systemic issues.

By understanding these distinctions, owners can collaborate with their veterinarian to determine the right diagnosis and management plan for their Silver Lab.

Causes and Risk Factors of Silver Lab Alopecia

Silver Lab Alopecia, primarily caused by Color Dilution Alopecia (CDA), arises due to genetic predisposition but can also be influenced by environmental and lifestyle factors. Understanding these causes and risks is crucial for owners seeking to manage this condition effectively.

Genetic Causes of CDA

CDA is a genetic disorder tied to the dilution gene, which affects the pigmentation process in hair follicles. This gene disrupts the function of melanocytes—the cells responsible for producing pigment.

As a result, the pigment granules within the hair shafts are irregularly shaped or clustered, weakening the hair and causing patchy hair loss over time.

In Silver Labradors, this condition is closely linked to their unique silver-gray coat, which results from the dilution gene. Dogs inheriting this gene from both parents are more susceptible to developing CDA, making the disorder a recessive trait.

Breed-Specific Risk Factors

Silver Labradors are particularly prone to CDA compared to other Labrador Retrievers. The primary reason lies in the genetic traits responsible for their distinctive coat color. The dilution gene, which gives their coat a silver hue, also increases their risk of hair loss and skin issues.

Additionally, the demand for rare coat colors, like silver, can lead to inbreeding or genetic bottlenecks. These breeding practices heighten the chances of recessive traits like CDA being passed down, further increasing the prevalence of alopecia in the breed.

Environmental and Lifestyle Factors

While genetics play a significant role, external factors can worsen alopecia symptoms in Silver Labs:

• Extreme Weather Conditions: Prolonged exposure to heat or cold can irritate sensitive skin, leading to inflammation or exacerbation of hair loss.
• Improper Grooming Practices: Over-bathing or using harsh shampoos can strip the skin of natural oils, making it more prone to dryness and scaliness.
• Poor Diet: A diet lacking essential nutrients, like omega-3 fatty acids, can weaken the coat and skin, contributing to the progression of CDA.
• Stress and Hormonal Changes: Stressful events, such as moving homes or changes in routine, can trigger hormonal imbalances, which may accelerate hair loss.

By recognizing these causes and risk factors, owners can take preventative measures, like proper grooming, a nutrient-rich diet, and avoiding stressful situations, to manage Silver Lab Alopecia effectively.

How to Prevent and Minimize Silver Lab Alopecia

While Silver Lab Alopecia cannot always be fully prevented, proactive measures can significantly reduce its impact and help maintain your dog’s coat health.

By addressing genetic, dietary, and grooming factors, owners can enhance the well-being of their Silver Labradors.

Genetic Considerations When Breeding

One of the most effective ways to minimize the risk of Color Dilution Alopecia (CDA) is through responsible breeding practices. Because CDA is a genetic disorder linked to the dilution gene, careful selection of breeding pairs can reduce its occurrence.

• Genetic Testing: It’s essential for breeders to test both parents for the presence of the dilution gene. Breeding two carriers increases the likelihood of puppies inheriting the gene and developing CDA.
• Selective Pairing: If a dog carries the dilution gene, pairing them with a non-carrier can reduce the risk of passing the condition to their offspring.
• Avoid Inbreeding: Inbreeding to achieve rare coat colors, like silver, can amplify genetic bottlenecks, increasing the chance of alopecia and other health issues.

Healthy Diet for Coat Maintenance

Diet plays a critical role in supporting the skin and coat health of Silver Labradors. Providing a nutrient-rich diet can help manage the symptoms of CDA and improve overall coat quality.

Nutrients Essential for Coat Health:

Nutrient	Role in Coat Health	Food Sources
Omega Fatty Acids	Reduce inflammation, promote shiny coats	Salmon, flaxseed, fish oil
Vitamin E	Protects skin from oxidative damage	Spinach, sunflower seeds, almonds
Zinc	Supports skin repair and reduces irritation	Pumpkin seeds, turkey, beef
Biotin	Promotes healthy hair and reduces breakage	Eggs, sweet potatoes, oats

• Hydration Matters: Always ensure your dog has access to clean water, as hydration is vital for preventing dry, flaky skin.
• Avoid Processed Foods: Stick to high-quality dog food with no artificial additives or fillers to minimize the risk of skin irritation.

Grooming and Coat Care Tips

Proper grooming can significantly minimize hair loss and protect against skin irritation caused by CDA. Gentle, consistent care helps maintain the coat’s health and promotes hair follicle function.

• Use Gentle Shampoos: Opt for hypoallergenic, sulfate-free shampoos to clean your dog’s coat without stripping natural oils. Avoid products with harsh chemicals that can worsen scaliness or irritation.
• Regular Brushing: Brushing your dog’s coat weekly stimulates blood flow to the hair follicles, promoting growth and improving the coat’s overall texture. Use soft-bristled brushes to avoid damaging sensitive skin.
• Limit Over-Bathing: Bathing too often can dry out the skin. A bath every 4-6 weeks is sufficient unless your dog gets particularly dirty.
• Protect Against Weather Extremes: In cold or hot climates, provide shelter to prevent skin dryness or irritation caused by environmental factors.

Grooming Essentials Checklist:

• Hypoallergenic shampoo and conditioner.
• Soft-bristled brush or grooming mitt.
• Omega-rich coat spray for hydration and shine.

By combining responsible breeding, a balanced diet, and proper grooming, you can help prevent and minimize Silver Lab Alopecia, ensuring your dog stays healthy and comfortable.

Treatment Options for Silver Lab Alopecia

Although Silver Lab Alopecia (CDA) cannot be fully cured, several treatment options can help manage its symptoms, improve your dog’s quality of life, and maintain their skin and coat health.

Here are both conventional and holistic approaches to consider, along with strategies for coping with hair loss.

Veterinary Treatments for CDA

Professional veterinary care is essential in managing CDA. While there is no one-size-fits-all treatment, many therapies focus on alleviating symptoms and preventing secondary complications.

• Medications and Topical Treatments:

• • Anti-inflammatory creams can reduce skin irritation and soothe discomfort in bald areas.
  • Moisturizing agents, such as medicated shampoos, help maintain hydration and prevent excessive dryness.
  • Steroid creams may be prescribed to alleviate itching and inflammation, ensuring your dog is more comfortable.

• Antibiotics for Secondary Infections:
  Bald spots caused by CDA are prone to secondary bacterial infections. Veterinarians often prescribe antibiotics if signs of infection, such as redness or pus, develop.
• Skin Biopsies for Precision Treatment:
  A skin biopsy can help confirm the condition and identify any concurrent issues like parasites or dermatitis, ensuring targeted treatment.

Alternative and Holistic Treatments

For those seeking natural remedies, alternative approaches can complement veterinary care and support your dog’s coat health.

• Natural Soothing Agents:

• • Coconut oil can be applied to bald spots to moisturize the skin and reduce irritation.
  • Aloe vera gel helps calm inflamed areas and may encourage hair follicle health.

• Supplements for Skin and Coat Health:

• • Omega-3 fatty acids found in fish oil can reduce inflammation, support skin hydration, and promote hair regrowth.
  • Biotin supplements enhance hair strength and improve texture.
  • Vitamin E can be beneficial in addressing scaliness and dryness.

• Dietary Improvements:
  Feeding a nutrient-dense diet rich in vitamins and minerals can amplify the effects of natural treatments.

Managing Hair Loss

Coping with hair loss in a Silver Lab can be challenging, both emotionally and practically. Implementing strategies to care for your dog and yourself is key.

• Skin Protection:

• • Use protective clothing, such as lightweight dog shirts, to shield exposed skin from the sun and harsh weather.
  • Ensure bald spots are kept clean to prevent bacterial infections or irritation.

• Emotional Support for Owners:
  Witnessing your Silver Lab’s hair loss can be upsetting. Focus on their overall well-being and remember that CDA does not affect their lifespan or ability to enjoy life.
• Boosting Your Dog’s Comfort:

• • Prevent scratching or licking of irritated areas using an e-collar or soft cone.
  • Provide a stress-free environment with plenty of mental stimulation to reduce anxiety, which can worsen symptoms.

Quick Reference Table:

Treatment Option	Benefits	Examples
Medications	Reduces irritation and inflammation	Steroid creams, antibiotics
Natural Remedies	Soothes skin and supports regrowth	Coconut oil, aloe vera
Supplements	Promotes coat health	Omega-3 fatty acids, biotin
Protective Clothing	Shields skin from irritation	Dog shirts, sun protection gear

By combining veterinary treatments, holistic care, and emotional support, you can help your Silver Labrador live a happy, comfortable life despite alopecia.

The Controversy Around Silver Labradors and CDA

The rise in popularity of Silver Labrador Retrievers, known for their striking coat color, has sparked significant debate within the dog breeding community. This controversy often centers on the ethical implications of breeding for aesthetics versus health.

The Debate Over Silver Lab Breeding

The breeding of Silver Labradors has been a contentious topic due to their unique coat, which results from the dilution gene (D locus).

While this trait makes Silver Labs visually distinct, it is also linked to Color Dilution Alopecia (CDA) and other potential health issues.

• Ethical Concerns in Breeding:
  Critics argue that breeding specifically for the silver-gray coat prioritizes appearance over health. Since the dilution gene is a known cause of CDA, deliberately propagating this gene increases the risk of health problems in offspring.

• Ethical breeders emphasize the importance of balancing coat aesthetics with genetic diversity and health stability.
• Some breeders defend Silver Labs, claiming that responsible breeding practices can minimize the risk of CDA and maintain healthy dogs.
• Recognition and Authenticity:
  The controversy extends to breed standards. While the American Kennel Club (AKC) recognizes Silver Labradors as purebred, others within the community argue that the silver coat may be the result of crossbreeding with Weimaraners. This suspicion creates further division among breeders and Labrador enthusiasts.

Health Implications for the Breed

Beyond the controversy over breeding practices, the health implications of the dilution gene raise serious concerns about the well-being of Silver Labradors.

• Potential Long-Term Health Risks:
  The dilution gene does more than alter coat color; it directly affects melanin production, leading to weak hair follicles and subsequent hair loss. This condition not only impacts appearance but can also cause secondary skin issues, such as infections or irritation.
  • Dogs with CDA may experience chronic discomfort, requiring lifelong management.
  • Secondary issues, like skin infections, can increase veterinary costs and emotional stress for owners.
• The Role of Responsible Breeding:
  Ethical breeders have a responsibility to minimize the risks associated with CDA by conducting thorough genetic testing and selecting healthy dogs as breeding pairs.
  • Breeding Silver Labradors without addressing genetic predispositions contributes to the long-term deterioration of the breed’s health.
  • Transparency from breeders about potential health risks is crucial in fostering trust and promoting informed decisions among prospective dog owners.

The Balancing Act

The controversy surrounding Silver Labradors ultimately reflects a broader debate in the dog breeding community: whether aesthetics should ever outweigh health.

While the silver coat undeniably appeals to many, responsible breeding practices and open discussions about health implications are essential to ensuring these dogs live healthy, happy lives.

As a prospective owner, it’s important to seek breeders who prioritize genetic health and are transparent about the potential risks associated with CDA. Only then can we balance the beauty of Silver Labradors with their well-being.

Silver Lab Alopecia and Its Impact on Pet Owners

Owning a Silver Labrador with Color Dilution Alopecia (CDA) can be an emotional and financial rollercoaster for many pet owners.

While Silver Labs are loved for their distinct coat color, the challenges of managing alopecia can significantly affect the bond between owner and dog, as well as place a strain on resources.

Emotional and Financial Impact

The emotional toll of seeing a beloved dog suffer from hair loss, especially with the patchy or bald areas on the ears, tail, or abdomen, can be heartbreaking for many owners.

It is difficult not to feel a sense of helplessness when dealing with a condition that can lead to long-term, sometimes permanent, skin issues.

The discomfort that Silver Labs experience due to the itchiness, dry skin, and inflammation associated with alopecia only amplifies the emotional weight owners carry.

• Financial Strain:
  Treating CDA often requires ongoing care, such as trips to the veterinarian, special shampoos, and skin treatments. The costs associated with managing the condition can accumulate, especially when secondary skin infections or other complications arise.
  • Veterinary bills: Regular veterinary check-ups are necessary to monitor the skin and coat health. These visits may involve tests, like skin biopsies, to confirm the presence of CDA or to rule out other causes of hair loss.
  • Medications and treatments: Anti-inflammatory creams, antibiotics, and omega-3 supplements can add to the financial burden. Treatment plans may also include ongoing topical treatments, moisturizing agents, or even steroid creams for skin irritation.
  • Specialized care: Owners may need to invest in specialized skin care routines for their dogs, including hypoallergenic grooming products, shampoos, or skin balms designed to soothe irritation.

The reality of managing these costs can weigh heavily on owners, especially those unprepared for the extent of care required.

Additionally, the emotional impact of watching a dog lose its coat, coupled with the stress of managing health complications, can make Silver Lab ownership a constant balancing act between love and responsibility.

How to Support Your Dog with Alopecia

Supporting a Silver Lab with alopecia requires both emotional and physical dedication. It is essential for owners to maintain a close, caring bond with their dog while managing the practical aspects of the condition.

• Providing Emotional Support:
  Despite the physical challenges, owners should ensure they continue to offer emotional comfort to their dog. Affection, regular play, and quality time together can help maintain a sense of security and normalcy for both the dog and owner.
  • Spend time comforting the dog through gentle touch and reassurance, which can help alleviate any anxiety caused by their appearance or discomfort.
  • Creating a consistent routine can also provide stability for a Silver Lab struggling with alopecia, as dogs thrive on predictability and security.
• Managing Expectations for Owners:
  It is important for owners to have realistic expectations when it comes to managing CDA in their dog. Alopecia may not be something that can be completely cured, but it can be managed with proper care and treatment.
  • Owners should be mentally prepared for the ongoing nature of the condition, understanding that the process may involve regular trips to the vet, consistent grooming routines, and potential changes in lifestyle to accommodate their dog’s needs.
  • Mental resilience is crucial in coping with the long-term commitment of caring for a dog with chronic health issues. Setting expectations ahead of time and accepting that some things may be beyond control can alleviate some emotional strain.

Supporting a Silver Lab with alopecia requires a blend of patience, love, and dedication. While the condition can present challenges, the connection between owner and dog can remain as strong as ever with proper care, ongoing treatment, and emotional support.

Conclusion

In summary, Silver Labrador Alopecia (CDA) is a significant condition that affects Silver Labradors due to the dilution gene responsible for their unique coat color. Understanding the causes of CDA, its symptoms like patchy hair loss, and the various treatment options available is crucial for owners of these beautiful dogs.

Effective management of the condition requires attention to genetics, nutrition, and grooming. Responsible breeding practices can significantly reduce the risk of passing down the dilution gene, while a diet rich in omega-3 fatty acids and essential vitamins can support skin health and reduce inflammation.

Furthermore, regular grooming routines, including the use of gentle shampoos and moisturizers, are essential for minimizing skin irritation and promoting healthy hair growth. Veterinarians play a key role in diagnosing CDA, offering solutions to alleviate symptoms, and guiding owners through the management process.

If your Silver Lab shows signs of alopecia, it’s essential to consult a vet for an accurate diagnosis and appropriate treatment.

Ultimately, awareness of Silver Labrador alopecia and its impact allows owners to take the necessary steps to prioritize their dog’s health.

Responsible breeding practices, combined with a commitment to proper care and regular veterinary visits, can help ensure a better quality of life for affected dogs.

Through awareness and proactive management, Silver Labrador owners can effectively navigate this challenge while supporting their beloved pets.

FAQs on Silver Labrador Alopecia

1. Can Silver Labradors develop alopecia without the dilution gene?
   No, alopecia in Silver Labradors is primarily linked to the dilution gene, which causes Color Dilution Alopecia (CDA). Without this gene, the dog is unlikely to develop the condition. However, alopecia can occur due to other causes, like allergies or hormonal imbalances, but CDA is specifically tied to the dilution gene.
2. Is there a cure for Color Dilution Alopecia in Silver Labs?
   Currently, there is no cure for CDA. The condition is genetic and affects the production of melanocytes in the hair follicles, leading to hair loss. While treatments like steroid creams, omega-3 supplements, and specialized grooming can help manage symptoms, the condition cannot be completely reversed.
3. What is the best treatment for alopecia in Silver Labradors?
   Treatment for alopecia in Silver Labradors typically involves a combination of medications such as anti-inflammatory creams and moisturizers. Additionally, omega-3 supplements can help improve the skin and coat health, while regular vet visits are essential to manage secondary infections or irritation.
4. How can I tell if my Silver Labrador is affected by CDA?
   Signs of CDA include patchy hair loss or thinning in specific areas, especially around the ears, tail, or abdomen. The affected areas may also have dry, irritated skin or discoloration. Genetic testing and a biopsy can help confirm CDA as the cause of the hair loss.
5. Are all Silver Labradors at risk for alopecia?
   Yes, Silver Labradors are at higher risk for Color Dilution Alopecia due to their unique silver-gray coat color, which is a result of the dilution gene. However, not all of them will develop the condition, as other factors, such as genetics from both parents, play a role.
6. Are silver labs prone to alopecia?
   Yes, Silver Labs are more prone to alopecia, particularly Color Dilution Alopecia (CDA). The genetic mutation that causes the diluted coat color in these dogs increases their likelihood of developing the condition.
7. How do you treat color dilution alopecia in Silver Labs?
   Treatment for CDA involves managing symptoms rather than curing the condition. Regular use of moisturizing creams, anti-inflammatory ointments, and omega-3 fatty acids can help improve the dog’s skin condition and minimize hair loss. Steroid creams may be used for severe skin irritation.
8. How do you treat Silver Lab skin problems?
   Treating Silver Lab skin problems involves managing the underlying causes, such as Color Dilution Alopecia or secondary infections. Regular grooming, using gentle shampoos, and moisturizers are key in alleviating dry or irritated skin. In severe cases, your vet may recommend antibiotics or steroid treatments.
9. What labs to draw for alopecia?
   To diagnose alopecia in your Silver Labrador, veterinarians typically draw blood tests to check for underlying conditions such as hormonal imbalances or endocrine disorders. A skin biopsy may also be performed to determine if CDA is the cause of the hair loss.

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