Alopecia

Alopecia

Alopecia

It mean loss of hair n is a sign rather than diagnosis.
 - detail history, cair ful scalp exam^ n complete physical exam^ shud enable a confident diagnosis to b made.

CLASSIFICATION
LOCALISED
1 Non scarring
 - Tinea capitis
 - alopecia areata
 - androgenetic alopecia



 - traumatic
 - syphilis.

2 scarring
 - idiopathic
 - developmental defects
 - harpes zoster
 - pseudopelade
 - radiotheropy

DIFFUSE
 - androgenetic alopecia
 - Telogen effluvium
 - metabolic
 - hypo n hyperthyroidism
 - hypopituitarism
 - DM
 - HIV
 - nutritional deficiency.

INVESTIGATION
 - Complete bld picture
 - ESR
 - Urea n electrolytes
 - LFT n TFT
 - treponema pallidum haemagluitination
   test.
 - hair pluck test.
 - scalp biopsy.

MANAGEMENT
 - tretment is difficult
 - alopecia areata is responds to topical steroid.
 - androgetic alopecia is treated wit systemic steroid.
 - wig may b the most appropriae treatment for extensive alopecia
 - scalp surgery n autologous hair transplants r expensive but sometine  effective in androgenetic alopecia.

                          -by pam