Alopecia Flashcards
Type categories of allopecia
Cicatricial - With evidence of tissue destruction, inflammation, atrophy, or scarring
Non-cicatricial - hair loss without any signs of inflammation
Non-cicatricial alopecia
Androgenetic alopecia
Alopecia Areata
Telogen effluvium
Anagen effluvium
Androgenetic alopecia - Male or female pattern balding
Telogen effluvium - effluvium means to lose hari. Increased shedding of normal hairs (telogen hairs)
When the body is subjected to extreme stress, as much as 70 percent of hair can prematurely enter the telogen phase and begin to fall, causing a noticeable loss of hair.
Hypo or hyper thyroidism, postpartum stress, malnutrition, chemotherapy, major surgery, serious illness.
Hair will regrow
Anagen effluvium - hair loss involving entire scalep.
Caused by growth arrest, radiation therapy, drugs, systemic chemotherapy or malnutrition.
Hair regrows.
Telogen effluvium and Anagen effluvium are both mainly
Cicatrial alopecias
CCLE Lichen planus planpilaris Dissecting folliculitis or cellulitis Alopecia mucinosa, Follicular mucinosis Folliculitis Decalvans, Pustular folliculitis Folliculitis keloidis Pseudopelade of brocq
Pseudopelade of brocq - proceeds to the appearance or end stage of all non-inflammatory but still scarring alopecias, because it resembles Alopecia areata
Chronic cutaneous lupus, discoid lupus
Lichen planopilaris - hair loss from lichen planus
Central centrifugal scarring alopecia - follicular degernation syndrome, hot comb alopecia. Predominantly in black women, related to chronic chemical processing, heat, or tension on the hair.
Dissecting folliculitis, cellulittis
Alopecia mucinosa - Follicular mucinosis
Erythematous lesions of alopecia on the scalp or face.
- prominent hypertrophy of the follicular sebaceous gland and mucin production, with perifolicular lymphocyte and histiocyte infiltration.
Can be a symptom of T-cell lymphoma.
Folliculitis decalvans - Pustular folliculitis causing hair loss. S. aureus infection is common, but unclear if this is the cause or a common superinfeciton.
Acute suppurative follicle infection followed by irreversible scarring alopecia.
Dissecting folliculitis - aka dissecting cellulitis
Most common in black men, Deep inflammatory nodules, usually over the occiput.
Also has S. aureus infections.
Irreversible scarring folliculitis.
Folliculitis Keloidalis Nuchae
Acne keloidalis, scarring acne with keloid scare and scarring alopecia.
Usually on the nape of the neck and occiput.
Alopecia areata
Alopecia Areata - localized round patchy loss of hair with no inflamation.
- progresses to AA totalis, all scalp hair, or AA universalis, all body hair.
Androgenic alopecia
male pattern balding
Type of temporary hair loss caused by significant physical or mental stress
Telogen effluvium
From hairs shifting telogen phase due to the stressor, major surgery, hypo or hyperthyroidism, sometimes postpartum or nutritional deficiency.
Anagen effluvium
Type of hair loss involving whole scalp due to radiation therapy or systemic chemotherapy.
Systemic diseases causing scarring allopecia
Discoid lupus
Lichen planus
Cellulitis of the scalp.
Central centrifugal scarring alopecia - from chemical physical irritation, chroni too much hair treatmetn.