7 Ağustos 2016 Pazar

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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