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Hair & Scalp Conditions

Over the years I have seen many different forms of hair and scalp conditions which include Androgenic Alopecia (‘Pattern Baldness’)

This is one of the most common forms of hair loss.  It affects both men and women and occurs in distinct patterns. In men, this form of hair loss is very obvious.  At the end of the process – which can take from 15-25yrs – the only hair remaining is at the sides and the back of the head. Roughly one third of all women are affected by this type of hair loss normally on the vertex (top of the head) with the front hairline often intact.  The process of shedding is on average 50-100 hairs a day.

Alopecia Areata

This condition manifests itself in patchy hair loss, usually starting with a small spot that can spread.  It is an auto-immune disease where the body attacks itself, killing off the hair. In general, the onset of alopecia can be caused by illness and raised temperature, shock, viruses, inoculations, medication or a period of extreme stress 2-6 months before a bald patch appears. It’s important to remember that early diagnosis and treatment can minimise the effects of the condition.  Following diagnosis, many patients are extremely anxious which can also exacerbate the problem.  It is advisable to seek specialist advice on how relieve stress and help hair growth to resume.

Alopecia Totalis

Alopecia Totalis is condition in which total loss of scalp hair occurs and can follow on from unchecked alopecia areata.

Alopecia Universalis

The result is a loss of all body hair including eyebrows and eyelashes.  This form of hair loss is very distressing.

Telogen Effluvium or ‘Diffuse Hair Loss’

This condition manifests itself in shedding from all parts of the scalp.  A great deal of hair is shed before the effects become noticeable.  Telogen Effluvium can be caused by high fever, thyroid, postnatal depression, anaemia, surgery, medication, emotional stress, shock, dental treatment, surgery or dieting.  During pregnancy, high levels of female hormones generate healthy hair.  Some women can experience diffuse hair loss after childbirth.

Chemotherapy and radiotherapy hair loss

Chemotherapy or radiotherapy drugs work by attacking rapidly-growing cancer cells in the body.  Because hair follicle cells also multiply very quickly - like cancer cells - chemotherapy drugs have difficulty in discerning the difference.  This means that cancer treatment also destroys fast-growing hair cells and the hair falls out.  Damage is not irreparable however and hair usually grows back 6-8 weeks after chemotherapy treatment has ended.

Trichotillomania

Arare form of Alopecia that is extremely stressful and caused by a patient self-harming i.e. pulling his or her own hair out.  Given the psychology surrounding this condition, sufferers may not initially admit to pulling their hair out.  Although young children can be particularly prone to Trichotillomania, it normally affects adolescent age groups.

Scarring Conditions

Several scarring conditions may includeLichen Planus, Lupus Erythematosus, Folliculitis Decalvans and Pseudo Pelade.  These conditions can be slowly progressive and scarring of the scalp causes permanent hair loss.

Traction Alopecia

Acondition often caused by hair extensions or hair styles that cause physical trauma to the scalp e.g. cornrows, dreadlocks.

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