![]() Treatment should continue indefinitely because hair loss reoccurs when treatment is discontinuedĪdverse effects include hypertrichosis (excessive hair growth for age, sex, and race) and irritant or contact dermatitisĬlumps of hair come out in the shower or in hairbrush associated with physiologic or emotional stress Women: diffuse hair thinning of the vertex with sparing of the frontal hairline Men: bitemporal thinning of the frontal and vertex scalp, complete hair loss with some hair at the occiput and temporal fringes Men: topical minoxidil (2% or 5% solution) Minoxidil may help during regrowth periodįamily history of hair loss gradually progressive course No pharmacologic intervention has been proven effective scalp cooling not recommended Intralesional triamcinolone acetonide injected intradermallyĭiffuse hair loss days to weeks after exposure to a chemotherapeutic agent incidence after chemotherapy is estimated at 65% Physician support is especially important for patients in this situation.Īcute, patchy hair loss examination shows short, vellus hairs, yellow or black dots, and broken hair shafts Anagen effluvium is the abnormal diffuse loss of hair during the growth phase caused by an event that impairs the mitotic activity of the hair follicle, most commonly chemotherapy. Trichorrhexis nodosa occurs when hairs break secondary to trauma and is often a result of hair styling or overuse of hair products. Trichotillomania is an impulse-control disorder treatment is aimed at controlling the underlying psychiatric condition. Once the precipitating cause is removed, the hair typically will regrow. Telogen effluvium is a nonscarring, noninflammatory alopecia of relatively sudden onset caused by physiologic or emotional stress. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Scarring alopecia is best evaluated by a dermatologist. Patients may present to their family physician first with diffuse or patchy hair loss. Hair loss is often distressing and can have a significant effect on the patient's quality of life. ![]()
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