Hair Loss

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WhatCauses ?

Clinical Presentations Of

Complication Of

Treatment Options For

Prevention Of

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What Is Hair Loss?

Hair loss is a natural process that every individual faces through their life span. However due to many conditions, this process can be expediated. Hair loss generally divides into 2 categories, scarring and non-scaring alopecia (hair loss).

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What Causes Hair Loss?

Hairloss can be due to many factors. The non-scaring alopecia can be divided into:

  • Androgenic alopecia (female or male pattern hair loss)
    • It is due to genetic predisposition to hair loss
    • Low iron (ferritin) as well as thyroid disease can expediate the process
  • Telogen effluvium
    • Hair loss due to significant physician (sickness, fever, pregnancy) or emotional distress (COVID-19 pandemic, stress at work or home)
  • Anagen effluvium
    • Hair loss due to chemotherapy or radiation therapy
  • Trichotillomania
    • The habit of pulling hair out
  • Alopecia areata
    • Transient circular patches of alopecia (bald spot) due to underlying autoimmune conditions. It can be related to autoimmune thyroid disease, lupus, vitiligo, …
  • Scaring alopecia can be due to cutaneous lupus, lichen planopilaris, dissecting cellulitis, folliculitis deCalvans, acne nuchae keloidalis and Central Centrifugal Cicatricial Alopecia
Clinical Presentations Of Hair Loss
  • Pattern hair loss:
    • Patients with male pattern hair loss starts noticing hair thinning mostly affecting their temple area. Subsequently the hair line starts recedes while bald patches over crown starts showing up.
Complication Of Hair Loss

Hair loss can cause significant emotional as well as psychosocial effects on the patients. Skin cancers can also develop within an uncontrolled chronic scaring hair loss.

Treatment Options for Hair Loss
  • Home remedies
    • LED hair laser therapy
    • Hair max
  • Over the counter medications
    • Topical Rogaine (Minoxidil) 5% for men and 2.5% for female
    • Nutrafol oral supplement
    • Viviscal oral supplement
  • Prescription
    • Topical medications
      • Clobetasol for inflammatory scaring alopecia
    • Intralesional steroid injection for alopecia areata and scaring alopecia
  • Systemic therapy
    • Androgenic alopecia
      • Finasteride
      • Oral minoxidil
      • Deuteride
      • Spironolactone
    • Scaring alopecia
      • Plaquenil (hydroxychloroquine)
      • Doxycycline
      • Finasteride
      • Deuteride
      • Cellcept
    • Wigs
    • Hair transplant
      • Stripe method
      • Follicular Unit Extraction
Prevention Of Hair Loss
    • Addressing anemia with iron supplement
    • Addressing thyroid disease
    • Avoiding physical or emotional stress in life
    • Avoiding direct trauma to scalp and hair
    • Aggressive immediate treatment of scaring alopecia to minimize amount of hair loss

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Hair loss is a natural process that every individual faces through their life span. However due to many conditions, this process can be expediated. Hair loss generally divides into 2 categories, scarring and non-scaring alopecia (hair loss).

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