Medical history (history of the patient) represents an important component in the diagnosis of alopecia (hair loss). Family history Are there clustered family members in your family who have hair loss? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). … Hair Loss (Alopecia): Medical History
Blood, blood-forming organs – immune system (D50-D90). Sarcoidosis (synonyms: Boeck’s disease; Schaumann-Besnier’s disease) – systemic disease of connective tissue with granuloma formation (skin, lungs, and lymph nodes). Endocrine, nutritional and metabolic diseases (E00-E90). Biotin deficiency Iron deficiency Hyperthyroidism (hyperthyroidism) Hypoparathyroidism (hypothyroidism of the parathyroid glands). Hypopituitarism (hypofunction of the pituitary gland). Hypothyroidism (underactivity of the … Hair Loss (Alopecia): Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by alopecia (hair loss): Skin and subcutaneous (L00-L99). Recurrences/continued episodes of hair loss (alopecia areata). Circulatory system (I00-I99) Myocardial infarction (heart attack)-increase independent of established cardiovascular risk factors over time up to 4.5-fold compared with controls (alopecia areata) Psyche – Nervous … Hair Loss (Alopecia): Complications
The following types of hair loss can be treated by hair transplantation. Hereditary hair loss (androgenetic alopecia). Hair loss due to radiation damage, e.g., after tumor irradiation – the prerequisite is that the radiation therapy has ended. Circular hair loss (alopecia areata) – Prerequisite is that after one year of conventional therapy no successes have … Hair Loss (Alopecia): Surgical Therapy
To prevent alopecia (hair loss), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition and malnutrition with accompanying micronutrient deficiency, see micronutrient therapy (vital substances) for details. Pleasure food consumption Tobacco (smoking) Smokers and ex-smokers were 80% more likely to suffer from alopecia androgenetica (androgen-induced hair loss) compared with nonsmokers … Hair Loss (Alopecia): Prevention
Hair loss in itself is both a symptom and a disease. Depending on the cause, it can lead to the following complaints and symptoms: Alopecia areata Sudden appearance of round/oval foci(s) with complete hair loss; preferentially in occipital and temporal areas (occipital and temporal regions); but may also occur in the beard or eyebrows. Nail … Hair Loss (Alopecia): Symptoms, Complaints, Signs
The following forms of alopecia are distinguished: Alopecia areata* (ICD-10: L63.-) – this is a round, localized pathological hair loss. Alopecia androgenetica* (AGA, synonym: male-type alopecia) (ICD-10: L64.-) – Leads in about 80% of men to “Geheimratsecken” or in the pronounced case to a “bald head”; in women, androgenetic alopecia can also occur; causes are: … Hair Loss (Alopecia): Causes
General measures Nicotine restriction (refraining from tobacco use). Review of permanent medication due topossible effect on the existing disease. Avoidance of psychosocial stress: Stress Conventional non-surgical therapy methods Immunotherapy/phototherapy for alopecia areata (circular hair loss): in the dermatology department of Ulm University Hospital, patients with circular hair loss had a herbal substance (8-methoxypsoralen) dissolved in … Hair Loss (Alopecia): Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Hairiness (head and body hair); inspection under Wood light – Wood light (Wood lamp) is used in dermatology to inspect fluorescent disease foci and pigmentary changes on the skin. … Hair Loss (Alopecia): Examination
If alopecia androgenetica (AGA) is suspected. Men with AGA If the clinical findings are typical, no further laboratory diagnosis is required in men. 2nd-order laboratory parameters-depending on the results of the history, physical examination, etc.-for differential diagnostic workup Testosterone Androstenedione Dehydroepiandrosterone sulfate (DHEAS) Sex hormone binding globulin (SHBG). TSH (thyroid-stimulating hormone). Other notes Men with … Hair Loss (Alopecia): Test and Diagnosis
Therapy target Prevention of progression (progression) of alopecia. Therapy recommendations Therapy recommendations depending on the diagnoses (see below): Alopecia androgenetica (AGA). Man: Finasteride (5-α-reductase inhibitor); contraindicated (not allowed!) in women, children, and adolescents; minoxidil (vasodilator/drug that dilates blood vessels)Note: Men older than 45 years should have baseline PSA determined before initiating finasteride therapy. Woman: In … Hair Loss (Alopecia): Drug Therapy
The diagnosis of alopecia is essentially made on the basis of the medical history and physical examination. Additional diagnostic measures may include laboratory diagnostic tests. Optional medical device diagnostics – depending on the results of the history, physical examination, and laboratory diagnostics. Trichogram (hair root status).
