Hair Diseases

Question 1

What is Alopecia Areata?
What’s it associated with?
Which areas are m/c affected?

Answer 1

• Chronic, immune-mediated disorder that targets anagen hair, resulting in well- circumscribed, non-scarring hair loss
• Associated with stress & other AI conditions
• M/C scalp, beard, eyebrows, eyelashes

Question 2

What S&S are associated with Alopecia Areata?

Answer 2

• Shiny & smooth skin where hair is lost
• Scalp WNL
• Exclamation point hairs
• Positive Pull test in active dz (pull on 10 hairs and they just come out)
• Nail pitting

Question 3

How do you treat Alopecia Areata?

Answer 3

• Steroids (intralesional = M/C)
• Topical Minoxidil
• Baricitinib

Question 4

This kind of alopecia is the m/c type of hair loss…

Answer 4

Androgenetic Alopecia (Male and Female patterns)

Question 5

What is Androgenetic Alopecia?

Answer 5

Typically slow, progressive non-scarring hairloss occurring in a patterned distribution

Question 6

What pattern is seen with Male Pattern Hairloss?

Answer 6

• Bitemporal regression and vertex thinning
• Gradual thinning after puberty

Question 7

How do you treat Male Pattern Hairloss?

Answer 7

• Daily Finasteride (Propecia)
• Minoxidil (Rogaine)
• Hair Transplant
• Platelet rich plasma
• Low-level laser light therapy

Question 8

What pattern is seen with Female Pattern Hairloss?

Answer 8

Retention of the frontal hairline and diffuse thinning of the vertex scalp

Question 9

How do you treat Female Pattern Hairloss?

Answer 9

• Minoxidil (Rogaine) = only FDA approved tx

Question 10

What is Trichotillomania?

Answer 10

Self induced form of alopecia secondary to compulsive hair pulling/twisting

Question 11

How do you treat Trichotillomania?

Answer 11

• Stress/anxiety mmmgmt
• Psych eval
• Avoid behavior