Alopecia: Difference between revisions
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==Background== | ==Background== | ||
{{Skin anatomy background images}} | |||
*Alopecia is defined as hair loss <ref> Greenberg, M et al. Greenberg's Text Atlas of Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins. 2005. 442 </ref> | *Alopecia is defined as hair loss <ref> Greenberg, M et al. Greenberg's Text Atlas of Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins. 2005. 442 </ref> | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Allopecia areata.jpg|thumb|Alopecia areata, one type of alopecia.]] | |||
*Hair loss | *Hair loss | ||
*The pattern of hair loss can help determine diagnosis | *The pattern of hair loss can help determine diagnosis | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Alopecia areata | *Alopecia areata | ||
*Lupus | *[[Lupus]] | ||
*Trauma - [[Burns]], Direct Trauma | *Trauma - [[Burns]], Direct Trauma | ||
*[[Syphilis]] | *[[Syphilis]] | ||
*Hair pulling - Trichotillomania | *Hair pulling - [[Trichotillomania]] | ||
*[[Tinea]] Capitis | *[[Tinea]] Capitis | ||
*Radiation | *Radiation | ||
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*Male pattern baldness | *Male pattern baldness | ||
*Stress - Telogen effluvium | *Stress - Telogen effluvium | ||
*[[Trichotillomania]] | |||
== | ==Evaluation== | ||
*Careful history and physical | *Careful history and physical | ||
*Mostly clinical diagnosis | *Mostly clinical diagnosis | ||
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==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 | *Dermatology referral especially for cicatrial alopecia (inflammatory disorders of scalp that lead to permanent hair loss) | ||
*Psych referral for trichotillomania | *Psych referral for trichotillomania | ||
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[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Symptoms]] | |||
Latest revision as of 16:15, 11 December 2024
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