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Hair Loss: Common Causes and Treatment.
Am Fam Physician. 2017 Sep 15; 96(6):371-378.AF

Abstract

Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically. Telogen effluvium is a nonscarring, noninflammatory alopecia of relatively sudden onset caused by physiologic or emotional stress. Once the precipitating cause is removed, the hair typically will regrow. Trichotillomania is an impulse-control disorder; treatment is aimed at controlling the underlying psychiatric condition. Trichorrhexis nodosa occurs when hairs break secondary to trauma and is often a result of hair styling or overuse of hair products. Anagen effluvium is the abnormal diffuse loss of hair during the growth phase caused by an event that impairs the mitotic activity of the hair follicle, most commonly chemotherapy. Physician support is especially important for patients in this situation.

Authors+Show Affiliations

Washington Health Systems Family Medicine Residency, Washington, PA, USA.Washington Health Systems Family Medicine Residency, Washington, PA, USA.Washington Health Systems Family Medicine Residency, Washington, PA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28925637

Citation

Phillips, T Grant, et al. "Hair Loss: Common Causes and Treatment." American Family Physician, vol. 96, no. 6, 2017, pp. 371-378.
Phillips TG, Slomiany WP, Allison R. Hair Loss: Common Causes and Treatment. Am Fam Physician. 2017;96(6):371-378.
Phillips, T. G., Slomiany, W. P., & Allison, R. (2017). Hair Loss: Common Causes and Treatment. American Family Physician, 96(6), 371-378.
Phillips TG, Slomiany WP, Allison R. Hair Loss: Common Causes and Treatment. Am Fam Physician. 2017 Sep 15;96(6):371-378. PubMed PMID: 28925637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hair Loss: Common Causes and Treatment. AU - Phillips,T Grant, AU - Slomiany,W Paul, AU - Allison,Robert, PY - 2017/9/20/entrez PY - 2017/9/20/pubmed PY - 2017/9/26/medline SP - 371 EP - 378 JF - American family physician JO - Am Fam Physician VL - 96 IS - 6 N2 - Hair loss is often distressing and can have a significant effect on the patient's quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily diagnosed and treated in the family physician's office. Androgenetic alopecia can be diagnosed clinically and treated with minoxidil. Alopecia areata is diagnosed by typical patches of hair loss and is self-limited. Tinea capitis causes patches of alopecia that may be erythematous and scaly and must be treated systemically. Telogen effluvium is a nonscarring, noninflammatory alopecia of relatively sudden onset caused by physiologic or emotional stress. Once the precipitating cause is removed, the hair typically will regrow. Trichotillomania is an impulse-control disorder; treatment is aimed at controlling the underlying psychiatric condition. Trichorrhexis nodosa occurs when hairs break secondary to trauma and is often a result of hair styling or overuse of hair products. Anagen effluvium is the abnormal diffuse loss of hair during the growth phase caused by an event that impairs the mitotic activity of the hair follicle, most commonly chemotherapy. Physician support is especially important for patients in this situation. SN - 1532-0650 UR - https://www.unboundmedicine.com/medline/citation/28925637/Hair_Loss:_Common_Causes_and_Treatment_ DB - PRIME DP - Unbound Medicine ER -