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    Overview - Alopecia

    Verified Expert
    Also known as: hair loss
    Loss of hair from the scalp or any part of the body. The condition, usually, occurs when the immune system destroys the hair follicles that results in hair loss.
    How common is condition?
    Very common (More than 3 million cases per year in US)
    Is condition treatable?
    Treatable by a medical professional
    Does diagnosis require lab test or imaging?
    Often requires lab test or imaging
    Time taken for recovery
    Can last several months or years
    Condition Highlight
    Family history may increase likelihood for some types
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    Causes

    Verified Expert

    There are various reasons for hair loss. Some of the factors include:

    • Hereditary-family history of alopecia increases the risk
    • Hormonal changes-imbalances caused by pregnancy or menopause could lead to hair loss
    • Medical conditions such as scalp infections, lichen planus, lupus, sarcoidosis, hair-pulling disorder, an autoimmune disorder
    • Medications such as cancer drugs, intake of Vitamin A
    • Radiation therapy to the head
    • Stressful experiences such as sudden weight loss, surgery, high fever, loss of loved one-trigger hair loss
    • Certain hairstyles that pull hair tightly
    • Beauty treatments that could cause inflammation of the hair follicle

    Risk factors which triggers hair loss include:

    • Family history
    • Age - more common among older people
    • Poor nutrition
    • Medical conditions such as diabetes, lupus
    • Stress

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    Symptoms

    Verified Expert
    Contact your provider if experiencing new, severe, or persistent symptoms.

    The main sign is a loss of hair. It may manifest as:

    • Gradual thinning of hair on the head
    • Circular/patchy hairless regions
    • Sudden loss of hair
    • Loosening of hair
    • Full body hair loss
    • Patches of scaling that spread over the scalp

    See more
    Is hair loss a medical risk?
    Hair loss can sometimes be a sign of an underlying disease. But hair loss itself poses no medical risk. Depending on what’s causing your hair loss, it may be temporary or permanent. Treatments can help people with certain types of hair loss.
    my.clevelandclinic.org

    Treatment

    Verified Expert

    Treatment includes medications, surgery, laser therapy, wigs, and hairpieces.

    Medication

    Oral corticosteroids: Reduce inflammation. Used to treat autoimmune conditions such as alopecia areata.

    Prednisone

    Antihypertensive vasodilator: Prevents further hair loss, and in some people, stimulates hair growth.

    Minoxidil

    Hormone modulators: For women, oral contraceptives or anti-androgens would be beneficial.

    Spironolactone . Flutamide

    5-alpha reductase inhibitors: Given to men for treating pattern baldness.

    Finasteride

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    Diagnosis

    Verified Expert
    One or more of these tests may be recommended by your medical provider.
    Diagnosis includes physical examination and a review of family and medical history.

    Common tests & procedures

    Complete blood count (CBC): To check for hemoglobin levels and other markers to help identify medical conditions associated with hair loss.

    Thyroid function tests (TFTs): To check for hormone levels.

    Pluck test: Hair is pulled from the root for examining the phase of growth to detect a defect.

    Pull test: Pulling several hairs from a particular area to see how many come out.

    Trichoscopy: Done using a dermatoscope which consists of a light source and a lamp to examine the scalp/skin.

    Scalp biopsy: Scraping samples from the skin for further examination to detect infection.

    See more
    Source: Focus Medica. For informational purposes only. Consult a medical professional for advice.

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