Alopecia is the loss of hair present on the scalp and other areas of the body. It is also called as spot baldness and it affects both men and women. Hair loss may occur suddenly from the scalp and other areas of the body. Some of the common types of alopecia include alopecia areata caused by autoimmunity and chemotherapy-related alopecia caused by anti-cancer drugs.
The hair follicles function as per hair growth cycle, each cycle consists of growing, regression and shedding phase. In general 80 to 100 hairs are shed from the scalp, loss of hair more than this needs medical attention. Some of the causes of hair loss are anti-cancer drugs, environmental and health conditions. Alopecia may cause emotional and psychological distress.
The following are the signs and symptoms of alopecia:
The following are the causes of alopecia:
The risk factors for alopecia are as follows:
In some people, alopecia may cause low self-esteem and depression as their appearance is affected. Severe alopecia leads to complications, such as:
The doctor may examine the scalp and may also ask for the patient’s family history.
Pull Test: To determine the stage of shedding process, the doctor may pull few hairs, and therefore this technique is called pull test.
To detect the presence of scalp infection the doctor may perform a scalp biopsy. It is a simple test performed under local anesthesia. A sample from the scalp is collected or few hairs are plucked to examine the hair roots. The sample is sent to the laboratory for further evaluation which is done under the microscope.
The shaft of hair is examined using the special light microscopic instrument to detect any abnormality and this process is called as light microscopy.
In cases where the alopecia is secondary to other health conditions like thyroid disorder and autoimmune disorders, blood tests may be done. In general, the doctor may advise for following blood tests:
The doctor may treat the other health conditions (thyroid disorder, autoimmunity) causing alopecia with suitable medications. In case of drug-induced alopecia, the doctor may advise the patient to withhold any medication that is causing alopecia for about three months. The topical application of minoxidil liquid promotes hair re-growth and prevents further hair loss. The doctor may prescribe oral finasteride only for men as it slows hair fall and helps in the growth of new hair.
Hair Transplant or Restoration Surgery
In this procedure, the tiny hair-containing skin plugs are removed and implanted on the bald area. The doctor may advise the patient to take hair growth medication before and after surgery for better results. This procedure may cause infection and scarring; however, it is expensive and painful.
The wigs and hairpieces are the best alternatives to medications and surgery. They are painless and are made up of good quality adhesives, keeping the wigs intact for a long time. Use of wigs helps to protect the scalp from sunburn.
Alopecia can be prevented by following ways:
Who are usually affected by acne? Most people with acne are aged between 12 and 25 but some older and younger people are affected. Boys are more commonly affected than girls.
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