alopecia
What are the symptoms?
Hair loss
Tinea in Capitis; Itching
scaling of the skin
Broken hair (Traction alopecia is)
inflammation
Alopecia Areata, Alopecia hair thinned at the border of the plate
Alopecia is not easily handled the hair around the plate.
What are the reasons?
Telogen Loss
Postpartum Medications (oral contraceptives, anticoagulants, Retinoids, Beta blockers, chemotherapeutic agents, interferon)
Physical or psychological stress
Hormonal (hypothyroidism or hyperthyroidism, hypopituitarism)
Nutritional (malnutrition, iron deficiency, zinc deficiency)
Diffuse alopecia areata
Anagen Loss
mycosis fungoides
X-ray treatment
Drugs (Chemotherapeutic Agents, allopurinol, levodopa, bromocriptine)
Poisoning (bismuth, arsenic. Gold, boric acid, thallium)
Cicatricial Alopecia
Congenital Defects or Developments
Infections (leprosy, syphilis, Varisella- Zoster Cutaneous Leishmaniasis)
Basal cell cancer
epidermal nevus
Physical agents (acids and alkalis, burns, frostbite, radyodermit)
cicatricial pemphigoid
lichen planus
Sarcoidosis
Androgenic Alopecia
Adrenal hyperplasia
Polycystic Ovary
carcinoid
Pituitary hyperplasia
Drugs (testosterone, danazol, ACTH, anabolic steroids, progesterone)
Alopecia areata
Unknown (autoimmune?)
Traction alopecia is
Trichotillomania (pull hair)
Tense way to collect hair, to wear buckles
Tinea capitis
microspores
and trichophyton
Maintenance and recommendations?
Telogen Loss: medication, stress, malnutrition, such as 3 months after the event started with the maximum loss would be improved and the removal of the cause. Rarely is permanent baldness.
Anagen Loss: a few days or a few weeks after the spill begins from a start event, why recovery occurred after the disappearance of is rarely permanent baldness.
Cicatricial Alopecia: Hair follicles are damaged irreversibly. The only effective treatment; It is surgery. Graft transplantation, transplantation or flap skatrisl as the excision of methods can be used.
Androgenic Alopecia with the use of topical minoxidil for 12 months, it is reported that 39% of those using flour and markedly hair out. Androgenic alopecia is another treatment of surgery, hair transplantation, scalp reduction, such as transposition flap and soft tissue expansion.
Alopecia Areata: disease usually recover without treatment within 3 years. But repetition is frequent.
Traction alopecia is: pull your hair will be left behind alone. Psychological or psychiatric intervention may be necessary. Successful therapeutic approaches in medicine, behavior modification and hypnosis can be considered.
Tinea capitis: Often 6-8 weeks of treatment is required.
What are the ways of treatment?
Androgenic Alopecia: 2% topical minoxidil
Tinea capitis: Children Griseofulvin 10 mg / kg / day, Ketoconazole 200 mg / day may need to continue treatment for 6-8 weeks.
Griseofulvin: Pregnancy, Porphyria, hepatocellular insufficiency, griseofulvin against hypersensitivity
If contraindicated.
Topical Minoxidil Side Effects
Irritation and a burning sensation in the eyes
Water and salt retention
tachycardia
Anjuna
Topical steroids Side Effects
Local burning and stinging
Itching
atrophy of the skin
telangiectasia
Hypothalamic-pituitary-adrenal steroids Suppression powerful if used for a long time
Griseofulvin Side Effects
Photosensitivity reaction
Lupus-like syndrome
oral candidiasis
granulocytopenia
Ketoconazole Side Effects
Anaphylaxis
hepatotoxicity
oligospermia
neuropsychiatric disorders
Gynecomastia
Topical Minoxidil Interactions: may cause orthostatic hypotension when given with guanethidine.
Griseofulvin Interaction: reduces the activity of warfarin. Barbiturates reduce the activity of griseofulvin
Ketoconazole Interactions: can enhance the activity of warfarin. Isoniazid and rifampicin, ketoconazole reduces activity. The use concomitantly with phenytoin alters the metabolism of both drugs. When taken together with terfenadine and astemizole may be prolonged QT interval and ventricular phase. H2 blockers or antacids, reducing the absorption of ketoconazole.
If necessary, the use of H2 blockers or antacids should be administered at least 2 hours after ketoconazole. Proton pump inhibitors; Omeprazole should be avoided for the same reason.
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