Hair fall (Alopecia, Hair loss)

• Hair fall (alopecia, hair loss) is a common complaint in men and in women and is a common cause of distress.

• When examining hair, it is to determine whether
  • hair loss is localized or diffuse
  • whether scarring is present or not
  • whether are skin changes in the hair, the face, the nails or on the rest of the body
  • whether the hair is actively falling
  • whether there are changes of the hair shaft

• Examination together with history enable the dermatologist (skin doctor) to make an initial diagnosis; further blood tests can be ordered most especially to determine if other systemic conditions can be linked (iron deficiency anemia (anaemia)…).

• When a solid diagnosis is made the patient can be informed of expectations and treatment (local and/or systemic) can be initiated.

• Common causes of:
  • localized non-scarring alopecia: alopecia areata, androgenic (androgenetic) alopecia, trichotillomania…
  • localized scarring alopecia: discoid (chronic) lupus erythematosus…
  • diffuse non-scarring alopecia: telogen effluvium, iron deficiency, syphilis…

   

• Treatment options are widespread and include sprays, injections, oral medication…

General information on hair loss