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Hair loss: Diagnosis and management
Sort Desciption:Careful diagnosis of the type of hair loss will. aid in selecting effective treatment. Reassurance is an. important component of any treatment regimen. ...
Content Inside:Hair loss: Diagnosis and managementPage 1CLEVELAND CLINIC JOURNAL OF MEDICINE VOLUME 70 NUMBER 8 AUGUST 2003705LOPECIA IS DISTRESSINGto patientsbecause of its effect on appearance butthe problem is often more than skin deep. Wephysicians should not underestimate its importance either as a cosmetic problem or as a signof a potentially serious underlying condition.In most cases alopecia is best managedwith reassurance and education but othercases require medical evaluation and therapy.The evaluation includes a personal and familyhistory physical examination and sometimeslaboratory testing.In this article we give a brief overview ofthe primary care management of the varioustypes of hair loss.s TYPES OF HAIR LOSSMost hair loss can be categorized into threetypes: Noncicatricial (potentially reversible) Cicatricial Due to hair shaft abnormalities.s NONCICATRICIAL ALOPECIANoncicatricial alopecia in turn has severalsubtypes: Telogen effluvium (shedding) Androgenetic alopecia (common baldness) Alopecia areata (isolated or recurrentpatchy hair loss) Traction alopecia (caused by pulling hair)and trichotillomania (compulsive hairplucking). Although these cause temporary hairloss in chronic cases trauma can affect the follicle stem cells ie the middle portion of thehair follicle producing scarring and permanent hair loss.1FABIANE MULINARIBRENNER MDInternational Scholar Departments of Dermatologyand Pathology The Cleveland ClinicWILMA F. BERGFELD MDHead Clinical Research Department of DermatologyThe Cleveland ClinicHair loss:Diagnosis and managementREVIEWs ABSTRACTAlopecia is usually treatable and selflimited but it may bepermanent. Careful diagnosis of the type of hair loss willaid in selecting effective treatment. Reassurance is animportant component of any treatment regimen.s KEY POINTSMost alopecia is noncicatricial meaning it is potentiallyreversible. Subtypes include androgenetic alopecia telogeneffluvium alopecia areata and tra ...
Source: www.ccjm.org
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