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Introduction
Hair
Types
of hair
Prenatal hair lanugo fine, soft
unmedullated and unpigmented hair
Postnatal hair It constitutes of terminal
and vellus hair
Terminal
hair
Coarse, long, usually pigmented and
medullated
Limited to scalp, eyebrows and
eyelashes
Replaces vellus hair after puberty in
response to androgens
Vellus hair fine, soft, unmedullated and
occasionally pigmented hair
Follicle
Hair cycle
A repetitive
Hair cycle
The
Scalp
Androgens
Dermal
Androgenetic alopecia
Occurs
in genetically predisposed
individuals
Androgen mediated conversion of
susceptible terminal hairs into vellus
hairs
Hamilton-Norwood grading scale is used
to diagnose and classify extent of hair
loss in clinical situations
Ludwig
FPHL
The other scales used are Olsen scale,
Ebling Rook scale and Savin scale
Savin scale is same as Ludwig scale
except that it also measures overall
thinning of hair
Ludwig scale
At
Female
onset
FPHL manifests as reduction in hair
volume over the crown with complete or
near complete preservation of the frontal
hairline
Christmas tree pattern with widening of
the central parting line in the mid frontal
scalp
An
Inheritance of AGA
Association
Hormonal influences
Normal
In
In
Progressive
miniaturization of hair
follicles due to decrease in dermal
papilla size occurs in b/w hair cycles
In FPHL, this occurs rapidly, possibly in
the space of a single cycle
It leaves behind stellae as remnants also
k/a fibrous tracts or streamers
Arao
Principal
Treatment
Proper
Finasteride
Spironolactone,
Telogen effluvium
1.
Hair
Profound
iron deficiency
Can be corrected by iron replacement
Hair follicles may temporarily fail to reenter anagen
Important d/d is AGA which is easier to
prevent progression than stimulating
regrowth in females
Punch biopsy can clarify the diagnosis
Acrodermatitis
Liver
Women
Mainly
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