Alopecia: Difference between revisions
| Line 26: | Line 26: | ||
==Management== | ==Management== | ||
*Treat the underlying cause | *Treat the underlying cause | ||
**Finasteride 1mg daily and topical minoxidil 5% is FDA approved for the treatment of androgenic alopecia in males | |||
*Tinea treated with either topical or systemic antifungals | *Tinea treated with either topical or systemic antifungals | ||
*Dermatology referral especially for cicatrial alopecia (inflammatory disorders of scalp that lead to permanent hair loss) | *Dermatology referral especially for cicatrial alopecia (inflammatory disorders of scalp that lead to permanent hair loss) | ||
Revision as of 06:13, 20 August 2022
Background
- Alopecia is defined as hair loss [1]
Clinical Features
- Hair loss
- The pattern of hair loss can help determine diagnosis
Differential Diagnosis
- Alopecia areata
- Lupus
- Trauma - Burns, Direct Trauma
- Syphilis
- Hair pulling - Trichotillomania
- Tinea Capitis
- Radiation
- Oncologic
- Male pattern baldness
- Stress - Telogen effluvium
- Trichotillomania
Evaluation
- Careful history and physical
- Mostly clinical diagnosis
Management
- Treat the underlying cause
- Finasteride 1mg daily and topical minoxidil 5% is FDA approved for the treatment of androgenic alopecia in males
- Tinea treated with either topical or systemic antifungals
- Dermatology referral especially for cicatrial alopecia (inflammatory disorders of scalp that lead to permanent hair loss)
- Psych referral for trichotillomania
Disposition
- Per underlying cause where acute radiation syndrome, thyroid dysfunction, and burns may require admission
- Discharge with appropriate referral
See Also
External Links
National Alopecia Arata Foundation
References
- ↑ Greenberg, M et al. Greenberg's Text Atlas of Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins. 2005. 442