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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

…tic: hydroxychloroquine, cyclosporine, mycophenolate mofetil Traction alopecia Slightly controversial diagnosis, typically affects sites of hair in which hair-styling practices results in traction May be due to prolonged, intense pulling on the hai…

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: 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…

Therapeutic Strategies in Dermatology

Alopecia: Initial Evaluation

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

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…e is highly-motivated to confirm the diagnosis of androgenetic alopecia; a 4 mm punch biopsy of the affected area of alopecia is performed Follow-up evaluation and suture removal in 2 weeks 2-week follow-up evaluation A scalp biopsy demonstrates mi…

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

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…

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

Traction alopecia

Traction alopecia Synonyms Hot comb alopecia Follicular degeneration syndrome Presentation stereotypical Age and sex Young women, especially African-Americans Distribution of lesions Scalp, in symmetrical fashion, particularly along the frontal ha…

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