Hair disorders- Alopecia

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ALOPECIA: Loss of hair

Types:

Scarring alopecia – destruction and fibrous tissue replacement in hair follicle.

Non Scarring alopecia – slow hair growth without hair follicle damage.

Causes:

  • Chemotherapy
  • Radiation
  • Androgens
  • Easy hair breakage
  • Genetic disorders
  • Overuse of hair dryers
  • Drugs – ACE inhibitors, oral contraceptives, thyroid medicines, anti convulsants, excess vit.A, deficiency of zinc and biotin

Prescription contains

Minoxidil

Finasteride

Spironolactone

Drug therapy

Surgical options include follicle transplantation

 

Verify correctness of drug and dose

Minoxidil

For both male and female pattern hair loss

2% for women, 2% or 5% for men

1 mL twice/day

Hair regrowth can take 8 to 12 months

Finasteride

For male pattern hair loss

1 mg once/day

Hair regrows in 6 – 8 months

Spironolactone

For female pattern hair loss

50 – 200 mg once/day.

   

Contraindications:

  • Finasteride in women.

 

Counselling on side effects

  • Minoxidil – mild scalp irritation, allergic contact dermatitis, and increased facial hair.
  • Finasteride – decreased libido, erectile and ejaculatory dysfunction, hypersensitivity reactions, gynecomastia, and myopathy.

Controlling triggering factors

  • Excessive use of oral contraceptives and vit A supplements
  • Use of hair dryers
  • Micronutrient deficiency
  • Stress
Environmental factors for – Genetic predisposition

Counselling on diet, exercise, lifestyle management

  • Have diet rich in biotin like carrots, almonds,walnuts, onion, cucumber etc and
  • zinc rich varieties like spinach, pumpkin seeds, cashew nut,chocolate, chicken, mushrooms.
  • Avoid stress
  • Avoid overuse of hair dryers
  • Thought pattern and affirmation.

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