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Alopecia Hair Loss - Alopecia Aerate (Alopecia Totals, Alopecia Universalism) - Causes, Symptoms And Treatment

Alternate Names : Alopecia Totals, Alopecia Universalism

Alopecia, or hair loss, usually occurs on the scalp; hair loss elsewhere on the body is less common and less cosmic ours. In the non scarring form of this disorder (noncicatricial alopecia), the hair follicle can generally re grow hair. But scarring alopecia usually destroys the hair follicle, making hair loss irreversible.

reason of alopecia hair loss alopecia totals, alopecia universalism)

The most common form of non scarring alopecia is male-pattern alopecia, which appears to be related to androgen levels and to aging. Genetic predisposition commonly influences the time of onset, degree of baldness, speed with which it spreads, and pattern of hair loss. Women may experience a similar disorder, called androgen tic alopecia, characterized by diffuse thinning over the top of the scalp.

Other forms of no scarring alopecia include:

• physiologic alopecia (usually temporary): sudden hair loss in infants, loss of straight hairline in adolescents, and diffuse hair loss after childbirth
• alopecia aerate (autoimmune disorder): generally reversible and self-limiting; occurs most frequently in young and middle-aged adults of both sexes; also occurs in children
• trichotillomania: compulsive pulling out of one's own hair; most common in children.

Predisposing factors of no scarring alopecia also include radiation, many types of drug therapies and drug reactions, bacterial and fungal infections, psoriasis, seborrhea dermatitis (from scratching the affected area), and endocrine disorders, such as thyroid, parathyroid, and pituitary dysfunctions.

Scarring alopecia reason irreversible hair loss. It may result from physical or chemical trauma or chronic tension on a hair shaft, as occurs in braiding. Diseases that produce scarring alopecia include destructive skin tumors, granulomas, lupus Erythematosus, scleroderma, porous lichen Planus, and severe fungal, bacterial, or viral infections, such as heroin, deep Folliculitis, and herpes zoster.

Signs and symptoms of alopecia

In male-pattern alopecia, hair loss is gradual and usually affects the thinner, shorter, and less pigmented hairs of the frontal and parietal portions of the scalp. In women, hair loss is generally more diffuse; completely bald areas are uncommon but may occur.

Alopecia aerate affects small patches of the scalp but may also occur as alopecia totals, which involves the entire scalp, or as alopecia universalism, which involves the entire body. Although mild erythematic may occur initially, affected areas of scalp or skin appear normal. "Exclamation point" hairs (loose hairs with dark, rough, brush like Secrets on narrow, less-pigmented shafts) occur at the periphery of new patches. Regret initially appears as fine, downy hair, which is replaced by normal hair.

In trichotillomania, patchy, incomplete areas of hair loss with many broken hairs appear on the scalp but may occur on other areas, such as the eyebrows.

Diagnosis for alopecia hair loss

Physical examination is usually sufficient to confirm alopecia. In trichotillomania, an occlusive dressing can establish a diagnosis by allowing new hair to grow, revealing that the hair is being pulled out. The diagnosis must also identify any underlying disorder.

Treatment for alopecia

Topical application of monoxide, a peripheral vasodilator more typically used as an oral antihypertensive, has had limited success in treating male-pattern alopecia. A new DNA drug, Prophecies (ministered), has been approved for use in men. An alternate treatment is surgical redistribution of hair follicles by auto grafting.

In alopecia aerate, treatment may be unnecessary because spontaneous re growth is common. Intraregional corticosteroid injections are beneficial for small patches and may produce regret in 4 to 6 weeks. High-potency topical steroids are less effective. Hair loss that persists for over a year has a poor prognosis for regret.

Treatment of other types of alopecia varies according to the underlying cause.

Expectations (prognosis)

Full recovery of hair is common. However, alopecia aerate occurring at a young age, prolonged alopecia, or the presence of eczema (atomic dermatitis) often predicts a poorer outcome.

Special considerations

• Reassure a woman with female-pattern alopecia that it rarely leads to total baldness. Suggest that she try topical monoxide or consider the use of a wig in severe cases.
• If the patient has alopecia aerate, explain the disorder and give reassurance that complete regret is possible.

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