Dermatology
[ALOPECIA]
Alopecia Areata
A systemic autoimmune disorder against hair follicles.
Ranging from small patches to total body hair loss, it’s a
poorly understood disease. Because it’s primarily cosmetic,
without alternatively associated disease, it’s more about clinical
diagnosis than management.
Traction Alopecia
Permanent scarring resulting in permanent alopecia that’s
secondary to keeping the hair pulled tightly (extreme braiding)
that puts excessive traction on the root. This is preventable but
irreversible once it occurs.
FACTT M
Fungus (Tinea Capitis)
Areata (Alopecia Areata)
Chemo
Traction Alopecia
Trichotillomania
Male Pattern Baldness
Male Pattern Baldness
A cosmetic issue whereby 5-DHT strangles hair follicles
causing hair loss starting at the crown and working its way
around to the front of the head. Treat with Minoxidil topical
and Systemic Finesteride.
Trichotillomania
Trichotillomania is a psychiatric disease labeled under anxiety
or OCD. It presents as patchy alopecia with hair at different
lengths. Tell the girl to stop and do behavioral therapy to treat
the anxiety.
Chemo
Sometimes the hair falls out. Chemotherapy targets rapidly
dividing cells. This means the cancer (yay!) but also the gut
(diarrhea), bone marrow (anemia, infection), and hair. Hair loss
is expected, anticipated, and without treatment.
Tinea Capitis
Tinea Capitis is a fungal infection that causes patchy alopecia
on the head. All of the hairs will be lost at the same time, so all
hairs in the affected region are gone or are regrowing at the
same length. A KOH prep must be gotten to visualize the
infection. Treat with topical and oral antifungals; failure to do so
will result in permanent hair loss.
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