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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

…hy men and in women who are not of child-bearing potential) Alopecia areata Coin-shaped (nummular) patches of non-inflammatory hair loss; exclamation hairs; may involve the entire scalp (totalis) or body (universalis) Likely autoimmune; often assoc…

Therapeutic Strategies in Dermatology

Alopecia: Treatment

…corticosteroid injections are not practical for patients with alopecia totalis, but may be used in this setting to induce hair growth in cosmetically important areas, such as the eyebrows. Extensive hair loss A reliable, standard therapy is not ava…

A Clinical Atlas of 101 Common Skin Diseases

Alopecias

…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 bears hair follicles may be involved by certain types of alopecia….

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…aluation Hair-pulling is ongoing, but several areas of prior alopecia now have full regrowth Reassurance is emphasized; continuation of family counseling is encouraged Case 2 16-year-old healthy boy with sudden onset of asymptomatic hair loss i…

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

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

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

…n planopilaris), with frontal accentuation (frontal fibrosing alopecia), or with lichenoid rash, scaly scalp patches, and noncicatricial loss of axillary and pubic hair (Lassueur-Graham-Little-Piccardi syndrome). Other variants include actinic lic…

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…

Histologic Diagnosis of Inflammatory Skin Diseases

Alopecia areata, totalis, universalis

…y be sharply circumscribed (areata), affect the entire scalp (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. Al…

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