Hair Loss – Alopecia

Chute de cheveux

Warning:

• More often than not pathological.

• Importance of the examination to date, quantify, assess the background and drug intake.

Clinic:

Alopecia non-incisional:

Androgen alopecia: the most common cause:

male pattern baldness, scarcity diffuse hair in women. There is a family context and the onset is very progressive.

Treatments based MINOXIDIL 2% topical application or oral PROPECIA are only suspensive.

Other causes can be distinguished:

– Alopecia acute diffuse telogen effluvium to type: it is a hair loss occurring in the two months following a triggering circumstance postpartum, general diseases (febrile infections, inflammatory diseases), emotional stress (surgery …) .

Regrowth is systematic in 3 to 6 months.

– Alopecia chronic widespread: we must look endocrinopathy (hypothyroidism, hyperandrogenism), a nutritional deficiency (iron, protein, zinc), drug cause (chemotherapy, cholesterol lowering agents, anticoagulants, propranolol, hydantoins).

– Alopecia localized non-incisional: to entrust the specialist. Possible causes: alopecia areata, syphilis, tinea (cf. dermatophytes).

Localized scarring alopecia:

to entrust to a specialist. With the exception of post-traumatic scars, this type of alopecia requires histological examination with immunofluorescence.

The most common causes are: lichen planus, discoid lupus erythematosus, cutaneous metastases.

Order No. 1: alopecia diffuse telogen effluvium type of

Bepanthene [dexpanthenol] 1 tab 3 times daily.

Biotin, 1 tablet 3 times daily.

– Gel rubefacient DUCRAY applied topically to the scalp 1 times a day.

Treatment for 2 months.