Hair Conditions Flashcards

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1
Q

what are lanugo hairs

A

fine long hairs covering the foetus

- shed one month before birth

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2
Q

what are vellus hairs

A

fine, short hair covering lot of the body surface

- replace lanugo hairs before birth

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3
Q

what are terminal hairs

A

long, coarse hairs e.g. scalp and pubic area

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4
Q

what influences the growth of terminal hairs

A

androgen levels

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5
Q

what is anagen in the hair cycle

A

growing phase

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6
Q

what is catagen in the hair cycle

A

transitional phase

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7
Q

what is telogen in the hair cycle

A

resting phase

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8
Q

what part of hair cycle are the majority of hairs in

A

anagen

- approx 85-90% of hairs

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9
Q

what is telogen effluvium

A

diffuse hair loss as a result of stressful event (e.g. pregnancy) /severe illness
stress puts all hairs into the telogen phase (shedding) at same time

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10
Q

will the hair recover in telogen effluvium?

A

yes - hair will fully recover and normal hair cycle will resume within few months

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11
Q

what is alopecia areata

A

autoimmune hair loss - T cell destruction of hair follicles

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12
Q

presentation of alopecia areata

A

sudden patchy hair loss

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13
Q

broken exclamation mark hairs are seen in what condition

A

alopecia areata

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14
Q

treatment alopecia areata <50% hair loss

A

intradermal corticosteroid injections e.g. triamcinolone

- topical fluocinonide in kids

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15
Q

treatment alopecia areata >50% hair loss

A

topical immunotherapy e.g DPCP - causes contact allergic response to displace the autoimmune process causing the hair loss

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16
Q

what is androgenic alopecia

A

male pattern baldness - frontal receding + thinning of hair

17
Q

treatment of androgenic alopecia

A

topical minoxidil

- vasodilator

18
Q

what is hirsutism

A

male pattern of hair growth seen in females

- increased androgen levels

19
Q

causes of hirsutism

A
familial 
adrenal hyperplasia / tumour 
PCOS
hyperprolactinaemia 
glucocorticoids
20
Q

hormone profile investigation for hirsutism

A

testosterone
DHEA - most abundant circulating steroid
SHBG - free androgen index
LH, FSH

21
Q

what is trichotillomania

A

disorder where you pull out own hair

22
Q

scaly itchy red patch of hair loss

likely to be?

A

tinea capitis

23
Q

investigation for tinea wapitis

A

skin scraping

24
Q

treatment tinea capitis

A

oral anti fungal - griseofulvin

25
Q

what is hypertrichosis

A

state of excessive hair growth in non androgenic distribution

26
Q

causes of hypertrichosis

A

anorexia / malnutrition
chronic inflammation
malignancy
phenytoin, cyclosporin

27
Q

causes of scarring alopecia

A

burns / trauma
chronic discoid lupus erythematous (CDLE)
lichen planus

28
Q

antibodies in cutaneous discoid lupus erythematous (CDLE)

A

Anti-nuclear antibodies (ANA)

29
Q

treatment of CDLE affecting scalp

A

topical potent steroids