Traumatic Alopecia

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Virginia C. Fiedler - One of the best experts on this subject based on the ideXlab platform.

  • Diseases of the Hair and Scalp
    Archives of Dermatology, 1994
    Co-Authors: Virginia C. Fiedler
    Abstract:

    Diseases of the Hair and Scalp is an excellent, comprehensive, well-referenced, updated text that covers the biology and clinical assessment of normal and abnormal hair growth. The first two chapters provide a good overview of the embryology, physiology, structure, and function of the hair follicle. Clinically relevant physical properties of the hair shaft are clearly presented as well. Normal and abnormal body hair growth in children through the age of puberty is well discussed and nicely illustrated in chapters 3,6, and 7. Androgenetic Alopecia, hirsutism, and various other endocrinologic, metabolic, and chemical causes of Alopecia are well explained and categorized. Other topics include Traumatic Alopecia, Alopecia areata, cicatricial Alopecia, hair color, infections and infestations, psychological factors, hair cosmetics, nevi, tumors, and cysts. Discussions of systemic, skin, and scalp diseases affecting hair growth are very useful. The last chapter provides relevant techniques for evaluation of the patient complaining of hair loss. This book is not only comprehensive but also well-indexed and well-organized so that the reader with a specific question can rapidly

Manfred W. G. Lucas - One of the best experts on this subject based on the ideXlab platform.

  • New aspects in hair transplantation for females.
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 1995
    Co-Authors: Ursula E. M. Halsner, Manfred W. G. Lucas
    Abstract:

    BACKGROUND. In the overall spectrum of plastic surgery, hair transplantation for females still plays a marginal role. Previously applied standard methods (standard grafts) could not produce aesthetically satisfying results, so that many female patients who could have benefited from an operation were discouraged from doing so. It was not until the method of using minigrafts exclusively to cover large areas of androgenetic Alopecia in men was developed that acceptable treatment possibilities were also made available to women. OBJECTIVE. The main applications of hair transplantation for females are : androgenetic Alopecia, hereditary changes in the hairline, Traumatic Alopecia, and cosmetic indications. METHODS. Since 1986 all female patients were exclusively treated with mini- and micrografts in one to two or three sessions. RESULTS. Performing hair transplantation calls for a high degree of sensitivity on the part of the surgeon with respect to the woman and her expectations. CONCLUSION. With the mini- and micrograft technique new aspects in hair transplantation for females can be offered. Dermatol Surg 1995 ;21 :605-610.

W F Bergfeld - One of the best experts on this subject based on the ideXlab platform.

  • chemical and Traumatic Alopecia from thioglycolate in a black woman a case report with unusual clinical and histologic findings
    Cutis, 1992
    Co-Authors: S M Bulengoransby, W F Bergfeld
    Abstract:

    We report an unusual case of verrucal Alopecia occurring on the vertex scalp of a black woman, which was presumed to be secondary to use of a thioglycolate permanent wave preparation. We describe the clinical and histologic features of this chemical and Traumatic Alopecia as well as that of frontotemporal chronic traction Alopecia resulting from use of sponge rollers. Common hair care practices are a frequent cause of Alopecia in black women. Familiarity with these hair practices will aid in the accurate diagnosis, prevention, and proper management of this problem. The evaluation, causes, and differential diagnosis of Alopecia in a black woman are discussed.

S Diwakar - One of the best experts on this subject based on the ideXlab platform.

  • Child abuse by burns – A case report
    annals and essences of dentistry, 2013
    Co-Authors: S T Srinivas Murthy, J Dhanuja Rani, C Sreepradha, Satish Yadav, S Diwakar
    Abstract:

    Child maltreatment happens in all countries and in families of all racial and religious groups. There are four major types of abuse: physical abuse, sexual abuse, emotional abuse and neglect. Cutaneous injury is the most common injury caused by abuse. Cutaneous manifestations of physical abuse include bruises, lacerations, abrasions, burns, oral trauma, bite marks and Traumatic Alopecia. Abuse by burning comprises approximately 6% to 20% of all child abuse cases. Proper evaluation is necessary, because the use of cultural practices does not exclude the potential for child abuse. A 3 year old boy reported with extra oral swelling over the right side of the submandibular region. On clinical examination the boy had well demarcated burn marks at right and left side of submandibular regions. Treatment for lymhadenitis and burnt region was carried out and case reported to psychiatry department for counseling. It is recommonded that the offering of community child abuse educational progrmmes for all professionals including dental professionals, psychiatry, medicine, allied health,nursing, social workers and schools of education by providing literature, posters and handouts

Fatema A. Al-jaralla - One of the best experts on this subject based on the ideXlab platform.

  • Trichotillomania is chronic obsessive compulsive disease with a diagnostic hair loss patterns
    American Journal of Dermatological Research and Reviews, 2020
    Co-Authors: Khalifa E. Sharquie, Fatema A. Al-jaralla
    Abstract:

    Background: Trichotillomania (TTM) is a common cause of childhood Alopecia. It’s a Traumatic Alopecia and is defined as the irresistible urge to pull out the hair, accompanied by a sense of relief after the hair has been plucked. The condition maybe episodic and the chronic type is difficult to treat. There seem to be an increase in the prevalence of the condition probably due to the changing life style into a more stressful one. Objective: To do full evaluation of this disease and description of hair loss patterns. Patients and methods: In this descriptive study, we collected patients with trichotillomania who had attended department of dermatology, college of medicine, university of Baghdad, Baghdad teaching hospital during the period from 2011 through 2019 where 114 cases of TTM were seen. The diagnosis was established on clinical basis after exclusion of other dermatological diseases and medical problems.Full history was taken from each patient including demographic data, presence of stressful life event as a triggering factor. Psycholgical assessment was carried out for each patient by experienced dermatologist as psychiatric referral was refused by all patients and their families.Full description of patterns of hair loss was carried out after exclusion of other causes of hair loss especially Alopecia areata. Results: A total of 114 patients diagnosed with TTM were enrolled in this study,88 (77.19%) patients were females and 26 (22.8%) males with female to male ratio: 3.38:1 . Age of patients ranged from 6 – 65 years with a median age of 16 years with the commonest age range between 10-19 years in 64(56.14%) patients.While the duration of the condition ranged from 3 months to 4 years. Family history was positive in 6 (5.3%) patients, all of them were first degree relatives. Psychological evaluation showed obsessive compulsive neurosis in all patients and all patients or parents denied their action. Patients usually presented with areas of different hair lengths. Some hairs may be broken mid-shaft or appeared as uneven, whereas others had small black dots at the surface of the scalp, these features simulating fire in field but no exclamation mark hair were seen. There is usually no scaling on the scalp and the hair does not pull out easily. The affected area often had a strange shape, which had a useful diagnostic clue. The hair loss in TTM can take many shapes; morphological forms or patterns and as follow: crest like in 2 patients (1.75%) both of them were females in the 2nd decade of life, there was loss of hair at the sides of the scalp leaving the frontovertical and occipital area not affected,the second pattern so called cap like were found in 39 patients (34.21%), most patients were in the second decade of life, there was a hair loss at the top of the scalp mainly frontovertical area and leaving the sides of the scalp,the third pattern Alopecia areata- like, where multiple patches of hair loss were seen in 20 (17.5%) patients,the forth pattern frontal baldness like seen in 19 patients (16.66%), where the patients presented with complete hair loss of the frontal hair only. While the fifth pattern was the generalized (TTM totalis) type were seen in 19 (16.66%) patients all of them were females. Involvement of the eyebrows and eyelashes alone were seen in 6 (5.26%) patients, most of them were females, all but one in the first and second decade of their lives. Mixed patterns were seen in 8 (7.01%) patients all of them were females in their second decade and as follow: frontal plus eyebrows involvement was the most common in5 patients, followed by frontal plus patchy patterns in 2 patients, then totalis plus eyebrow in one patient. Only one patient was presented with beard involvement. Conclusion: TTM is disease of young female children with obsessive compulsive neurosis that presented with different patterns of hair loss that run chronic course . It is a debilitating disorder to the patients with emotional struggle as have to endure the embarrassment and shame of hair loss. A better understanding and awareness of the disorder is certainly the first step toward recognizing this disorder and management of these patients