-
Pediatric Dermatology Nov 2021Hairstyles and practices that frequently apply tension to the hair follicle can result in traction alopecia (TA). Many of the hairstyles and hair practices associated... (Review)
Review
Hairstyles and practices that frequently apply tension to the hair follicle can result in traction alopecia (TA). Many of the hairstyles and hair practices associated with a higher risk of TA begin at a young age, making early intervention and education advantageous in the pediatric population. Recognizing TA at its reversible stage in the pediatric population is critical as early interventions, and counseling will prevent permanent scarring alopecia. While TA can affect any pediatric patient, this review highlights the reported literature on specific populations with a higher reported prevalence of TA.
Topics: Alopecia; Child; Counseling; Hair; Hair Follicle; Humans; Traction
PubMed: 34467569
DOI: 10.1111/pde.14773 -
Der Hautarzt; Zeitschrift Fur... Nov 2016Within the group of cicatricial alopecias, Kossard first described frontal fibrosing alopecia (FFA) in 1994 as a variant of lichen planopilaris (LPP). This... (Review)
Review
Within the group of cicatricial alopecias, Kossard first described frontal fibrosing alopecia (FFA) in 1994 as a variant of lichen planopilaris (LPP). This classification is based on the histopathological findings of FFA and LPP, which are identical and therefore not separable. The clinical picture of FFA, however, is very characteristic and marked by regionally distinct structures of the skin. Typically, postmenopausal women present with a band-shaped atrophy that is several centimeters wide located in the frontotemporal area. Adjacent to the hairline, perifollicular erythema and papules can be found. In the majority of patients there is a loss of the eyebrows. Circumscribed alopecia and perifollicular papules occur only rarely on the extremities or the trunk. Etiology and pathogenesis of FFA are unclear. Hormone-related involutionary phenomena of the follicle, genetic factors, disruption of lipid homeostasis, and in accordance with the lichen planus associated T‑cell cytotoxic autoimmune response are discussed. Treatment of FFA is difficult. Atrophy cannot be influenced by the currently available treatment options. With regard to the follicular inflammation, topical steroids and systemic hydroxychloroquine, antiandrogens, and tetracyclines are mainly used on a topical basis.
Topics: Alopecia; Diagnosis, Differential; Evidence-Based Medicine; Fibrosis; Forehead; Humans; Lichen Planus; Skin
PubMed: 27538878
DOI: 10.1007/s00105-016-3855-6 -
Adolescent Medicine: State of the Art... Apr 2011It is important for practitioners to accurately diagnose hair loss in adolescents so that prompt and appropriate therapy can be initiated. (Review)
Review
It is important for practitioners to accurately diagnose hair loss in adolescents so that prompt and appropriate therapy can be initiated.
Topics: Adolescent; Alopecia; Hair; Humans; Stress, Psychological
PubMed: 21815442
DOI: No ID Found -
Dermatologic Surgery : Official... Nov 2021
Topics: Alopecia; Humans; Male
PubMed: 34608090
DOI: 10.1097/DSS.0000000000003201 -
Dermatologic Therapy Nov 2020Female pattern hair loss is a common form of hair loss in women that increases in incidence with age. The etiology is unknown with numerous factors identified that... (Review)
Review
Female pattern hair loss is a common form of hair loss in women that increases in incidence with age. The etiology is unknown with numerous factors identified that influence its onset. Female pattern hair loss may be viewed as a marker for an increased risk of cardiovascular and metabolic disease. New treatments include microneedling, low-level laser therapy, and autologous fat transfer. This article focuses on the pathophysiology, diagnosis, systemic associations, and current treatments for female pattern hair loss, which is the most common cause of alopecia in women.
Topics: Alopecia; Female; Humans; Low-Level Light Therapy; Transplantation, Autologous
PubMed: 32700775
DOI: 10.1111/dth.14055 -
American Family Physician Sep 2017Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or...
Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically. Telogen effluvium is a nonscarring, noninflammatory alopecia of relatively sudden onset caused by physiologic or emotional stress. Once the precipitating cause is removed, the hair typically will regrow. Trichotillomania is an impulse-control disorder; treatment is aimed at controlling the underlying psychiatric condition. Trichorrhexis nodosa occurs when hairs break secondary to trauma and is often a result of hair styling or overuse of hair products. 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. Physician support is especially important for patients in this situation.
Topics: Alopecia; Hair; Humans; Medical History Taking; Physical Examination; Tinea Capitis; Trichothiodystrophy Syndromes; Trichotillomania
PubMed: 28925637
DOI: No ID Found -
Diabetes & Metabolic Syndrome 2013Alopecia is an important condition presenting with excessive hair loss. The problem of alopecia is important concern in trichology. Sometimes, alopecia can be due to... (Review)
Review
Alopecia is an important condition presenting with excessive hair loss. The problem of alopecia is important concern in trichology. Sometimes, alopecia can be due to complicated etiologies. The good examples are metabolic diseases. In this article, the authors will present the details of alopecia due to some important metabolic diseases. Special focus is made on diagnosis and treatment.
Topics: Alopecia; Humans; Metabolic Diseases
PubMed: 23680253
DOI: 10.1016/j.dsx.2013.02.022 -
The Journal of Dermatology Aug 2021Cicatricial alopecias (CA) describes multiple subtypes of hair loss in which the hair follicle is destroyed by an unknown inflammatory mechanism. The main goal of... (Review)
Review
Cicatricial alopecias (CA) describes multiple subtypes of hair loss in which the hair follicle is destroyed by an unknown inflammatory mechanism. The main goal of treatment is to stop this inflammatory process and prevent further hair loss; however, there have been occasional reports of hair regrowth following treatment in some subtypes of CA. This review aims to highlight these reports. A total of 71 cases of hair regrowth were found documented in the literature. The treatments used varied widely both between and within each subtype of alopecia. This review highlights that regrowth is possible in at least a subset of patients with cicatricial alopecia; however, the mechanism by which this occurs has yet to be elucidated.
Topics: Alopecia; Cicatrix; Hair; Hair Follicle; Humans
PubMed: 33890315
DOI: 10.1111/1346-8138.15902 -
Clinics in Dermatology 2000
Review
Topics: Alopecia; Child; Diagnosis, Differential; Humans
PubMed: 11173208
DOI: 10.1016/s0738-081x(00)00151-6 -
Pediatric Clinics of North America Apr 2014Alopecia in childhood is a source of high concern, frustration, and anxiety. Delineating types of alopecia and those that are chronic or potentially related to... (Review)
Review
Alopecia in childhood is a source of high concern, frustration, and anxiety. Delineating types of alopecia and those that are chronic or potentially related to underlying medical problems is important. There are 5 common types of hair loss in children: alopecia related to tinea capitis, alopecia areata spectrum/autoimmune alopecia, traction alopecia, telogen effluvium, and trichotillomania/trichotillosis. Hair-cycle anomalies including loose anagen syndrome can lead to sparse-appearing hair. Rarer reasons for alopecia in children include pressure-induced alopecia, alopecia related to nutritional deficiency or toxic ingestion, and androgenetic alopecia. Congenital lesions should be considered for areas of localized alopecia occurring at birth.
Topics: Alopecia; Child; Diagnosis, Differential; Humans
PubMed: 24636654
DOI: 10.1016/j.pcl.2013.12.002