Reasons for Hair Loss

 

Hair loss is a common problem that can affect 50% of men and women throughout their lives. There is an average of 150,000 hairs on our scalp. • An average of 50 to 125 hairs fall out per day • It grows an average of 1 to 1.5 cm per month • Faster in summer and slower in winter

 

 

 

HAIR CYCLE

Anagen: active growth phase, protein synthesis and keratinization, lasts 5 years Katagen: resting phase, the extension slows down, lasts 3 weeks

Telogen: shedding phase, lasts 3 months,

85% of the hair on the scalp is in the anagen, 13% in the telogen and 2% in the catagen phase

Hair loss occurs when this cycle is interrupted!

Causes of hair loss are

a) genetic predisposition,

b) hair development disorders,

c) Systemic and autoimmune diseases,

d) scalp diseases,

e) medication.

 

 

 

REASONS FOR DIFFUSE HAIR LOSS

DIFFUSED HAIR LOSS.

1-ANDROGENETIC ALOPECIA

From puberty onwards, androgens shorten the anagen phase and cause the follicles to shrink. Gradual hair thinning begins. If women have problems such as hirsutism, menstrual irregularities, acne, or infertility, a laboratory examination is needed. Type M hair loss in men is characteristic.

2 telogen effluvium;

This occurs when the hair that goes into the telogen phase increases in size. Around 25% of the hair goes into the telogen phase. Significant hair loss is observed almost 3-4 months after the triggering event. Acute: Less than 6 months, longer than a chronic month

Causes of Telogen Effluvium

Physiological

- Postpartum

- Mechanical or psychological trauma

- Persistent fever (malaria ..)

- Severe infections

- Severe systemic diseases

- Major surgery

- hypothyroidism / other endocrinopathies

- Harmful diets / malnutrition

DRUGS AND TOXICANTS

- retinoids

- anticoagulants (heparin, warfarin)

- antithyroid drugs

- anticonvulsants

- hormonal preparations

 

 

 

2-LOCAL HAIR LOSS (Alopesia areata)

One condition that is characterized by focal hair loss is an autoimmune disease. It is often accompanied by other autoimmune diseases. It can also show a genetic transition. Spontaneous regression development is common in 6-12 months. The prognosis is poor for those who last longer than a year and begin in childhood. Tea tree Oil for acne scars

TRICHOTILLOMANIA

This is a psychiatric condition. It starts at the age of 8-10. Some patients eat the hair that they have pulled out. Patients generally do not admit the situation. Erythema and pustules can be observed on the scalp. The diagnosis is made by shaving the bald area. The treatment is psychiatric.

TRACTION ALOPECIA • Often seen in people who have their hair tied up tightly. It can cause permanent hair loss.

TİNEA CAPİTİS It occurs particularly in prepubertal people. And is more common in people who have close contact with infected cats, dogs, or infected children. Oral antifungal drug is required (terbinafine). Hair Removing Wax

 

 

3- SCARCING HAIR LOSS; It causes permanent hair loss. It can be observed in diseases such as chronic discoid lupus erythematosus (CDLE), lichen planopilaris, folliculitis decalvans. Patients with hair loss should definitely be examined for iron deficiency, goiter, menstrual disorders, syphilis, diabetes and their hormone, D and Ca levels determined.

TREATMENT:

 

MEDICAL TREATMENT

For ANDROGENETIC ALOPECIA

• Minoxidil 5%: 5 sprays 2 times a day on dry scalp

• Finasteride: - 5-α-reductase inhibitor: DHT ↓ - 1 mg / day orally

• Ketaconazole Shampoo:

• Zinc Pitrion Shampoo:

 

 

 

For LOCAL HAIR LOSS

•• Topical steroid: - 2 times a day on the hairy scalp • Minoxidil 5%: 5 sprays 2 times a day on the dry scalp. Best Oil for hair loss and regrowth

• Topical immunotherapy with DNCB or SADBE:

• Oral steroids:

• Intralesional steroids

• Antraline cream