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Hair Loss and Treatment

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M. Ansari
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 Hair Loss

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Natural shedding of hair accounts for normal

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0011 0010 1 0daily
1 0 1 1 hair
0 1 0 0loss.
0 1 0 1 0Recent
0 1 0 1 1 measurements indicate
that the average rate of hair loss is closer to
35 to 40 hairs per day
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 Alopecia
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• Abnormal hair loss

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• Most common types
– Androgenic alopecia
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– Alopecia areata
– Postpartum alopecia
– Over 63 million people in our country suffer
from abnormal hair loss
 Emotional impact
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• How perceived by others

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– Recent study showed that compared to men

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who had hair, bald men were PERCEIVED as

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having a number of characteristics
• Less physically attractive – by both sexes
• Less assertive
• Less successful
• Less personably likable
• Older
– By about 5 years
 Emotional impact
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• Men with severe hair loss

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– Negative social and emotional effects

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– More preoccupation with baldness

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– Make effort to conceal or compensate for hair loss
• Women with hair loss
– Devastating- women try to hide it from everyone
including their doctor
– Causes anxiety – women feel helpless and less
attractive
 Androgenetic Alopecia
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• CAUSE: a combination of heredity,

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hormones and age causes progressive

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shrinking or miniaturization of terminal

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hair, converting it to vellus hair
• Known as male pattern baldness in men
• Affects 40 million men in U.S.
• Affects 20 million women in U.S.
 Androgenetic Alopecia
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• Can begin as early as teens

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• Frequently seen by age 40

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• By age 35, almost 40 % of men & women

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show some degree of loss
• Gene can be inherited from either side of
family
 Alopecia Areata
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• Sudden loss of hair in round or irregular patches;

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may occur on scalp or anywhere else on body. It’s

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highly unpredictable; affects almost 5 million

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people in the U.S.
• Immune system attacks hair follicles
• Begins with one or more small, bald patches
– Can progress to the total scalp hair loss (alopecia
totalis) or complete body hair loss (alopecia
universalis)
 Alopecia Areata
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• Occurs in males and females of all ages and

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races
– Can begin in childhood

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• Scalp shows no sign of inflammation
• No obvious signs of skin disorder or disease
 Postpartum Alopecia
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• Temporary hair loss at conclusion of

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pregnancy

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• Growth cycle generally returns to normal

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within one year after the baby is delivered
 Hair Loss Treatments
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• Minoxidil

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– Topical medication applied to scalp twice daily; proven

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to stimulate hair growth

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– Sold over the counter in 2 strengths: 2% regular & 5%
extra strength; no known negative side effects
• Finasteride
– Oral prescription for men only
– Side effects include weight gain & loss of sexual
function
 Summary
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• Genetics, age hormonal changes, and the

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immune system are factor of abnormal hair
loss
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• There are only 2 approved hair loss
treatments
Next lesson: disorders of the hair