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A Clinical Atlas of 101 Common Skin Diseases

Alopecias

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Loss of hair attributable either to the effects of inflammatory cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role.

Therapeutic Strategies in Dermatology

Alopecia

Therapeutic Strategies in Dermatology

Alopecia: Key Points

…There are numerous pathophysiologic mechanisms that result in alopecia: hair shaft disorders an autoimmune disorder (such as alopecia areata) chemotherapy induced (such as anagen effluvium) scalp inflammation (leading to scarring alopecia, such as…

Therapeutic Strategies in Dermatology

Alopecia: Treatment

…eatments are discussed below for the two most common causes of alopecia: androgenetic alopecia and alopecia areata. Ancillary therapy In all cases of hair loss, no matter what the cause, the value of cosmetic camouflage of hair loss should not be un…

A Clinical Atlas of 101 Common Skin Diseases

Alopecias

Loss of hair attributable either to the effects of inflammatory cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role. Although the scalp is the site most often affected, any region of the skin that be…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…Initial visit No biopsy is necessary; a clinical diagnosis of alopecia areata is given After discussion of treatment options, the patient decides to proceed with intralesional corticosteroid injections and triamcinolone 10 mg/cc is injected in 0.1 c…

Therapeutic Strategies in Dermatology

Alopecia: Initial Evaluation

Initial Evaluation Differential diagnosis Alopecia areata Androgenetic alopecia Traction alopecia Trichotillomania Anagen effluvium…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea capitis

…rrheic dermatitis, atopic dermatitis, psoriasis For pronounced alopecia: alopecia areata, trichotillomania, secondary syphilis, pseudopelade Inflammatory tinea capitis must differentiated from bacterial infections, folliculitis decalvans, perifollicu…

Therapeutic Strategies in Dermatology

Alopecia: References

References Alkhalifah, A et al (2010) Alopecia Areata update: part I and II. J Am Acad Derm, 62: 177-202. Hillmann, K and Blume-Peytavi, U (2009) Diagnosis of hair disorders. Semin Cutan Med Surg, 28:33-38. Mirmirani, P, Huang, KP, and Price, VH (20…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions of lichen planus are marked by violaceous-to-purple flat-topped papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (de…

Histologic Diagnosis of Inflammatory Skin Diseases

Alopecia areata, totalis, universalis

…(totalis), or be universal (universalis) Variations clinical Alopecia areata consists of one or more discrete bald patches. Alopecia totalis affects the entire scalp, which is hairless. Alopecia universalis is marked by loss of all body hair. Ophia…

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