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Hair loss: Diagnosis and management

Source: www.ccjm.org
Topic: Hair Loss
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Sort Desciption: In most cases, alopecia is best managed with reassurance and education, but other cases require medical evaluation and therapy. The evaluation includes a personal and family history, physical examination, and sometimes laboratory testing. ...

Content Inside:
LOPECIA IS DISTRESSING to patients because of its effect on appearance, but the problem is often more than skin deep. We physicians should not underestimate its importance, either as a cosmetic problem or as a sign of a potentially serious underlying condition. In most cases, alopecia is best managed with reassurance and education, but other cases require medical evaluation and therapy. The evaluation includes a personal and family history, physical examination, and sometimes laboratory testing. In this article, we give a brief overview of the primary care management of the various types of hair loss. s TYPES OF HAIR LOSS Most hair loss can be categorized into three types: Noncicatricial (potentially reversible) Cicatricial Due to hair shaft abnormalities. s NONCICATRICIAL ALOPECIA Noncicatricial alopecia, in turn, has several subtypes: Telogen effluvium (shedding) Androgenetic alopecia (common baldness) Alopecia areata (isolated or recurrent patchy hair loss) Traction alopecia (caused by pulling hair), and trichotillomania (compulsive hair-plucking). Although these cause temporary hair loss, in chronic cases trauma can affect the follicle stem cells, ie, the middle portion of the hair follicle, producing scarring and permanent hair loss. 1 FABIANE MULINARI-BRENNER, MD International Scholar, Departments of Dermatology and ...

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