Alopecia - Chronic
Definition
A chronic dermatological disorder involving hair loss from the scalp and sometimes the body
Medical History
* Family history of Alopecia
* Mental disorder
* Stress
* Infectious disease
* Autoimmune disease
* Cancer
* Chemotherapy
* Severe
* Traumatic AND/OR non-traumatic injury
* Disorder of endocrine system
Findings
* Loss of hair
Tests
Evaluation of nonscarring alopecia when the diagnosis is unclear
* Thyroid stimulating hormone measurement
* VDRL titer measurement
* ANA measurement
* Serum ferritin measurement
Evaluation of scarring alopecia
* Punch biopsy
Differential Diagnosis
* Male pattern alopecia
* Alopecia areata
* Telogen effluvium
* Trichotillomania
* Traumatic alopecia
* Tinea capitis
* Scarring alopecia
* Discoid lupus erythematosus
* Syphilis
Treatment
Drug Therapy
Mild to moderate male pattern alopecia
MINOXIDIL
Adults (male): Apply 1 mL of a 5% solution topically twice daily
FINASTERIDE (Related toxicological information in FINASTERIDE)
Adults (male): 1 mg orally once daily
MINOXIDIL - FINASTERIDE
Adults (male): Minoxidil 1 mL of a 5% solution topically twice daily AND finasteride 1 mg orally once daily
Women with mild to moderate androgenetic alopecia and no evidence of hyperandrogenism
MINOXIDIL
Adults (female): Apply 2% solution topically twice daily
Alopecia areata in adults and children older than 10 years of age
TRIAMCINOLONE ACETONIDE
Adults: 0.1 mL diluted in sterile saline to 10 mg/mL injected intradermally at multiple sites within the area; maximum dose 2 mL per visit every 4 to 6 weeks; discontinue after 6 months if no improvement
Pediatrics (>10 years): 0.1 mL diluted in sterile saline to 10 mg/mL injected intradermally at multiple sites within the area; maximum dose 2 mL per visit every 4 to 6 weeks; discontinue after 6 months if no improvement
HYDROCORTISONE SODIUM SUCCINATE
Adults: 25 mg/mL, 0.05 to 0.1 mL injected intradermally; multiple injections may be given; a Dermajet™ may also be used
MINOXIDIL
Adults: Apply a 5% solution topically twice daily .
Anthralin
Adults: 0.1%, 0.25%, 0.5%, or 1% cream topically to affected area once daily; gradually increase duration of time on the scalp from 5 minutes up to 1 hour; after each application rinse the scalp thoroughly with water followed by soap
Alopecia areata in children 10 years of age and younger
MINOXIDIL
Anthralin
Procedural Therapy
Male pattern alopecia
* Hair transplant: Newer techniques in hair transplantation can provide excellent, undetectable results in advanced male pattern hair loss .
Non-Procedural Therapy
Alopecia
* Use of Hairpieces or Wigs
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