Monday, May 1, 2023

Common causes of hair loss and how to prevent it


01- Introduction to Hair Loss: Understanding the Basics

Hair loss, also known as alopecia, is a common condition that affects both men and women of all ages. It can be temporary or permanent and can range from mild to severe. Hair loss can be a source of distress and embarrassment for those who experience it, affecting their self-esteem and quality of life.

Hair loss can occur due to various reasons such as genetic, hormonal, nutritional deficiencies, medications, underlying health conditions, and lifestyle factors. The most common type of hair loss is androgenetic alopecia, also known as male or female pattern baldness, which is hereditary and caused by the hormone DHT (dihydrotestosterone) which shrinks hair follicles, leading to thinner and shorter hair.

Hair loss can also occur due to a sudden shock to the body, such as surgery, childbirth, or a traumatic event, leading to a condition known as telogen effluvium. This type of hair loss causes hair to stop growing and eventually fall out.

Alopecia areata is another type of hair loss that is an autoimmune disorder where the body's immune system attacks the hair follicles, causing hair to fall out in small, round patches. This condition can be triggered by stress, illness, or injury.

Traction alopecia is a type of hair loss caused by pulling the hair too tightly, often due to hairstyles like tight braids, ponytails, or extensions. This type of hair loss is more common in women who wear their hair in tight hairstyles regularly.

Trichotillomania is a psychological disorder where the individual pulls out their own hair, often leading to bald patches on the scalp.

Understanding the basics of hair loss is important to prevent and manage the condition. It is essential to identify the underlying cause of hair loss to determine the appropriate treatment. A thorough medical evaluation, including blood tests, can help identify underlying health conditions that may be causing hair loss.

In cases of androgenetic alopecia, medications like finasteride and minoxidil can help slow down hair loss and promote hair growth. In cases of telogen effluvium, the hair usually regrows on its own once the underlying cause has been addressed.

For alopecia areata, treatments like corticosteroid injections, topical immunotherapy, and hair transplant surgery can help promote hair growth. Traction alopecia can be prevented by avoiding tight hairstyles that pull on the hair. Trichotillomania can be treated with behavioral therapy, counseling, and medication.

Lifestyle factors can also impact hair health, including a balanced diet that is rich in nutrients like protein, vitamins, and minerals, regular exercise, stress management, and avoiding smoking and excessive alcohol consumption.

Hair loss is a common condition that can have a significant impact on a person's self-esteem and quality of life. Understanding the causes and types of hair loss is essential to identify the appropriate treatment and prevent further hair loss. By adopting a healthy lifestyle and seeking professional help, it is possible to manage and prevent hair loss effectively.

References

American Academy of Dermatology. (2021). Hair loss. https://www.aad.org/public/diseases/hair-loss

American Hair Loss Association. (n.d.). Introduction to hair loss. https://www.americanhairloss.org/types_of_hair_loss/introduction.asp

Arck, P. C., & Paus, R. (2015). From the Cover: Hair follicle–derived immune privilege revisited: The key to alopecia areata management. Journal of Investigative Dermatology, 135(3), 561-566. https://doi.org/10.1038/jid.2014.429

Harvard Health Publishing. (2018). Treating female pattern hair loss. https://www.health.harvard.edu/staying-healthy/treating-female-pattern-hair-loss

Mayo Clinic. (2021). Hair loss. https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2019). Alopecia areata. https://www.niams.nih.gov/health-topics/alopecia-areata

NHS. (2020). Hair loss. https://www.nhs.uk/conditions/hair-loss/

Trüeb, R. M. (2019). Systematic approach to hair loss in women. Journal of the European Academy of Dermatology and Venereology, 33(S7), 6-18. https://doi.org/10.1111/jdv.15811

02 - Genetic Hair Loss: Understanding Male and Female Pattern Baldness

Genetic hair loss, also known as androgenetic alopecia, is the most common type of hair loss affecting both men and women. In this chapter, we will discuss male and female pattern baldness, the genetic factors that cause it, and the available treatments.

Male Pattern Baldness:

Male pattern baldness is the most common form of genetic hair loss, affecting around 50% of men over the age of 50. It typically starts with a receding hairline at the temples and a thinning crown, eventually leading to partial or complete baldness.

Male pattern baldness is caused by a combination of genetics and the hormone dihydrotestosterone (DHT). DHT is a derivative of testosterone that shrinks the hair follicles, leading to shorter, thinner hairs and eventually stopping hair growth altogether. The genetic factor plays a significant role in determining how sensitive hair follicles are to DHT, with some men being more prone to hair loss than others.

Female Pattern Baldness:

Female pattern baldness is less common than male pattern baldness, affecting around 30% of women over the age of 50. It typically causes thinning hair on the top and crown of the head, rather than a receding hairline.

The cause of female pattern baldness is also genetic and hormonal. In women, the hormone androgen can cause hair follicles to shrink, leading to thinner hair. Women also produce small amounts of DHT, which can contribute to hair loss.

Treatments for Genetic Hair Loss:

While genetic hair loss cannot be cured, there are several treatments available that can slow down or even stop hair loss and promote hair regrowth. The most common treatments for genetic hair loss include:

Finasteride: This medication blocks the production of DHT, reducing its effects on the hair follicles. Finasteride is only available for men and requires a prescription from a doctor.

Minoxidil: This medication is applied topically to the scalp and promotes hair growth by stimulating blood flow to the hair follicles. Minoxidil is available over-the-counter for both men and women.

Hair Transplantation: This procedure involves taking hair from a donor area on the scalp, usually at the back or sides, and transplanting it to the balding area. Hair transplantation is a surgical procedure and should only be performed by a qualified surgeon.

Low-Level Laser Therapy: This treatment uses a special device that emits low-level laser light to stimulate hair growth. It is non-invasive and can be done at home using a handheld device.

Genetic hair loss is a common problem that affects both men and women. While it cannot be cured, there are several treatments available that can slow down or even stop hair loss and promote hair regrowth. If you are experiencing hair loss, it is important to speak with a doctor or dermatologist to determine the underlying cause and find the best treatment option for you.

References

British Association of Dermatologists. (2021). Androgenetic alopecia. Retrieved from https://www.bad.org.uk/shared/get-file.ashx?id=121&itemtype=document

American Academy of Dermatology Association. (n.d.). Hair loss: Diagnosis, treatment, and outcome. Retrieved from https://www.aad.org/public/diseases/hair-loss/treatment

Mayo Clinic. (2021). Hair loss. Retrieved from https://www.mayoclinic.org/diseases-conditions/hair-loss/symptoms-causes/syc-20372926

American Hair Loss Association. (n.d.). Men's hair loss. Retrieved from https://americanhairloss.org/men_hair_loss/

American Hair Loss Association. (n.d.). Women's hair loss. Retrieved from https://americanhairloss.org/women_hair_loss/

03 - Hormonal Hair Loss: How Hormones Affect Hair Growth and Loss

Hormonal hair loss occurs when hormones in the body are imbalanced, leading to hair loss. Hormones are responsible for regulating many functions in the body, including hair growth and loss. In this chapter, we will discuss how hormones affect hair growth and loss, the most common hormonal causes of hair loss, and how to prevent it.

Hormones and Hair Growth

Hormones play a significant role in hair growth and loss. Androgens, a group of male sex hormones that includes testosterone, are responsible for regulating hair growth in both men and women. Androgens stimulate the hair follicles and promote hair growth on the scalp, face, chest, and other parts of the body. However, when androgen levels are too high or too low, they can cause hair loss.

Estrogen is another hormone that affects hair growth. Women have higher levels of estrogen than men, which promotes hair growth and thickness. Estrogen also increases the anagen, or growth phase, of the hair follicle, resulting in longer hair.

Progesterone is another hormone that can affect hair growth. It promotes hair growth and thickness, but when levels are imbalanced, it can cause hair loss.

Hormonal Causes of Hair Loss

Hormonal hair loss can occur due to imbalances in androgen levels, thyroid hormones, and insulin.

Androgenic Alopecia: Androgenic alopecia is the most common hormonal cause of hair loss in both men and women. It is caused by high levels of androgens in the body, specifically dihydrotestosterone (DHT), which binds to hair follicles and causes them to shrink. Over time, the hair follicles become smaller, leading to shorter and thinner hair strands. Androgenic alopecia typically affects the crown and front of the scalp in men and results in a receding hairline and baldness. In women, it can cause diffuse hair loss, where the hair thins all over the scalp.

Thyroid Disorders: Thyroid hormones play a crucial role in hair growth and loss. An overactive thyroid gland, known as hyperthyroidism, can cause hair to become thin and brittle, while an underactive thyroid gland, known as hypothyroidism, can cause hair loss.

Insulin Resistance: Insulin resistance, a condition where the body's cells become resistant to insulin, can cause hormonal imbalances and lead to hair loss. Insulin resistance can cause high levels of androgens in the body, leading to androgenic alopecia.

Preventing Hormonal Hair Loss

Preventing hormonal hair loss involves managing hormone levels and maintaining a healthy lifestyle. Some tips for preventing hormonal hair loss include:

Eating a balanced diet rich in vitamins and minerals, especially biotin, iron, and zinc, which promote healthy hair growth.

Managing stress levels through exercise, meditation, or other relaxation techniques.

Avoiding tight hairstyles that pull on the hair and cause traction alopecia.

Using gentle hair care products and avoiding harsh chemicals that can damage the hair and scalp.

Seeking medical treatment for underlying health conditions, such as thyroid disorders or insulin resistance.

Hormonal imbalances can affect hair growth and cause hair loss. Androgens, estrogen, and progesterone all play important roles in hair growth, and imbalances can lead to hair loss. Androgenic alopecia, thyroid disorders, and insulin resistance are the most common hormonal causes of hair loss. Preventing hormonal hair loss involves managing hormone levels and maintaining a healthy lifestyle.

References

Schmidt, T. H., & Shinkai, K. (2016). Evidence-based approach to hair loss management in women. Journal of drugs in dermatology: JDD, 15(4), 413-418.

Kanti, V., & Messenger, A. G. (2014). Chapter 51 - Androgenetic alopecia. In Women's Hair Loss (pp. 447-454). Elsevier.

Happle, R. (2019). The genetics of androgenetic alopecia: a review of the evidence and the challenges. Journal of the German Society of Dermatology: JDDG, 17(3), 251-262.

Blume-Peytavi, U., & Tosti, A. (2016). Hair growth and disorders. Springer.

Mirmirani, P. (2013). Hormonal changes in menopause: do they contribute to a "midlife hair crisis"?. International Journal of Women's Dermatology, 1(2), 85-88.

04 - Nutritional Hair Loss: The Impact of Diet on Hair Health

Healthy hair growth is not only about the right hair care products, but also about proper nutrition. Nutritional deficiencies can cause hair loss, thinning, and breakage. A balanced diet with the right nutrients is essential to maintain healthy hair growth. In this chapter, we will discuss the impact of diet on hair health and how to prevent hair loss by ensuring proper nutrition.

Protein is a critical nutrient for hair health. Hair is primarily made up of protein fibers called keratin. A diet lacking in protein can lead to hair loss, as the body prioritizes other essential functions over hair growth. Hair follicles require amino acids, which are the building blocks of protein, to produce new hair. Foods rich in protein include meats, fish, eggs, nuts, and legumes. Vegetarians and vegans can opt for plant-based sources of protein such as lentils, chickpeas, tofu, and tempeh.

Iron is another important nutrient for hair health. Iron deficiency is a common cause of hair loss, especially in women. Iron is needed for the production of hemoglobin, which carries oxygen to the hair follicles. Without enough oxygen, hair follicles can become weak and fall out. Foods rich in iron include red meat, poultry, fish, beans, and fortified cereals. Vegetarians and vegans can consume iron-rich foods such as tofu, beans, lentils, and spinach.

Vitamin C is essential for collagen production, which strengthens hair and prevents breakage. Collagen is a protein that provides structure to the hair, skin, and nails. Vitamin C also aids in iron absorption, making it a critical nutrient for preventing iron deficiency. Foods rich in vitamin C include citrus fruits, berries, kiwi, peppers, and broccoli. Incorporating these foods into your diet can help prevent hair breakage and improve overall hair health.

B vitamins, especially biotin and niacin, are also essential for healthy hair growth. Biotin helps strengthen hair and prevent breakage, while niacin improves blood circulation to the scalp, promoting healthy hair growth. Foods rich in B vitamins include whole grains, meat, fish, eggs, nuts, and leafy greens. Biotin supplements are also available and may help improve hair health, but it's important to consult with a healthcare professional before taking any supplements.

Omega-3 fatty acids are critical for healthy hair growth, as they help moisturize the scalp and prevent inflammation. Inflammation can damage hair follicles, leading to hair loss. Foods rich in omega-3s include fatty fish like salmon, chia seeds, flaxseeds, and walnuts. Vegetarians and vegans can opt for plant-based sources of omega-3s such as chia seeds, flaxseeds, and hemp seeds.

Zinc is another essential nutrient for healthy hair growth, as it helps build and repair hair tissues. Zinc deficiency can lead to hair loss and thinning. Foods rich in zinc include oysters, red meat, poultry, beans, and nuts. Vegetarians and vegans can consume zinc-rich foods such as lentils, beans, nuts, and seeds.

In addition to these specific nutrients, a balanced diet with a variety of fruits, vegetables, whole grains, and lean proteins can help prevent hair loss and promote healthy hair growth. These foods provide a range of essential vitamins and minerals that support overall health and well-being. Incorporating more fruits and vegetables into your diet can also help maintain a healthy scalp and prevent dandruff and other scalp conditions.

It's important to note that while diet plays a significant role in hair health, other factors can also contribute to hair loss, such as genetics, hormones, and medical conditions. If you are experiencing significant hair loss, it's essential to speak with a healthcare professional to determine the

References

Arck, P. C., Overall, R., Spatz, K., Liezman, C., Handjiski, B., Klapp, B. F., & Birch-Machin, M. A. (2006). Towards a “free radical theory of graying”: melanocyte apoptosis in the aging human hair follicle is an indicator of oxidative stress induced tissue damage. FASEB Journal, 20(9), 1567-1569.

Bhatia, A., & Jimenez, F. (2019). The role of diet in hair loss prevention and growth: A review of current literature. Dermatology and Therapy, 9(1), 1-18.

Daulatabad, D., Singal, A., & Grover, C. (2018). Diet in dermatology: Revisited. Indian Journal of Dermatology, 63(3), 193-202.

Guo, E. L., & Katta, R. (2017). Diet and hair loss: effects of nutrient deficiency and supplement use. Dermatology practical & conceptual, 7(1), 1-10.

Pappas, A. (2010). The relationship of diet and hair loss: a review. Dermatology and Therapy, 23(6), 456-463.

Schiffer, L., & Marquardt, Y. (2016). The effect of a nutritional supplement containing spirulina, horsetail extract, and zinc on hair loss: a randomized placebo-controlled trial. Journal of cosmetic dermatology, 15(4), 420-426.

05 - Stress-Induced Hair Loss: How Stress Affects Hair Growth and Loss

Stress is a common problem that affects many aspects of our health, including our hair. Stress-induced hair loss is a real phenomenon that can cause hair to thin, break, and fall out. In this chapter, we will discuss how stress affects hair growth and the various types of stress-induced hair loss.

When we experience stress, our bodies release a hormone called cortisol. Cortisol is a natural response to stress and helps our bodies deal with the physical and emotional demands of stressful situations. However, chronic stress can cause cortisol levels to remain high, leading to a range of negative health effects, including hair loss.

One way that stress can cause hair loss is by disrupting the natural hair growth cycle. The hair growth cycle consists of three phases: the anagen phase (growth phase), the catagen phase (transition phase), and the telogen phase (resting phase). During the telogen phase, the hair falls out, and a new hair begins to grow in its place. When we experience significant stress, such as an illness, surgery, or emotional trauma, this can cause many hairs to shift into the telogen phase at the same time, leading to excessive shedding and thinning.

Another way that stress can affect hair health is by causing inflammation in the body. Chronic stress can lead to systemic inflammation, which can damage hair follicles and prevent healthy hair growth. This can result in hair that is dry, brittle, and prone to breakage.

There are several types of stress-induced hair loss, including:

Telogen effluvium: As mentioned earlier, telogen effluvium occurs when many hairs shift into the telogen phase at the same time, leading to excessive shedding and thinning. This type of hair loss usually occurs a few months after a stressful event and is often temporary.

Trichotillomania: Trichotillomania is a psychological disorder where an individual pulls out their own hair due to stress or anxiety. This can lead to significant hair loss and damage to the hair follicles.

Alopecia areata: While alopecia areata is an autoimmune disorder, stress can trigger or exacerbate the condition. This condition causes hair to fall out in small, round patches.

To prevent stress-induced hair loss, it's essential to manage stress effectively. This can involve a range of stress-reduction techniques, such as exercise, meditation, deep breathing, yoga, or therapy. Getting enough sleep, eating a healthy diet, and maintaining a regular exercise routine can also help reduce stress levels and promote healthy hair growth.

It's also important to take care of your hair properly. Avoiding tight hairstyles and harsh treatments like chemical relaxers, hair dyes, and hot styling tools can help prevent damage to the hair follicles. Using a gentle shampoo and conditioner, and minimizing heat exposure can also help maintain healthy hair.

Stress-induced hair loss is a real phenomenon that can cause significant damage to hair health. By managing stress effectively and taking care of your hair properly, you can help prevent stress-induced hair loss and promote healthy hair growth.

References:

McMichael, A. J. (2016). Hair and Scalp Disorders in Skin of Color: A Practical Guide to Diagnosis and Treatment. Springer.

Paus, R., & Cotsarelis, G. (1999). The biology of hair follicles. New England Journal of Medicine, 341(7), 491-497.

Sinclair, R. (2015). Chronic telogen effluvium: a study of 5 patients over 7 years. International Journal of Trichology, 7(2), 67-69.

Trüeb, R. M. (2018). Stress and hair growth: a potential role for γ-aminobutyric

06 - Medication-Induced Hair Loss: Understanding the Impact of Medications on Hair Health

Hair loss can be a side effect of various medications, and this type of hair loss is known as medication-induced hair loss. It occurs when medications disrupt the normal hair growth cycle and cause hair to enter the resting phase prematurely. In this chapter, we will discuss the impact of medications on hair health and the types of medications that can cause hair loss.

Medication-induced hair loss can be temporary or permanent, and it depends on the type of medication, the dosage, and the individual's sensitivity to the medication. Some medications that can cause hair loss include:

Chemotherapy drugs: Chemotherapy drugs are designed to kill rapidly dividing cancer cells, but they also affect healthy cells in the body, including hair follicles. Hair loss due to chemotherapy is usually temporary and can grow back after treatment ends.

Anticoagulants: Anticoagulants, also known as blood thinners, can cause hair loss by increasing blood flow to the scalp and preventing hair follicles from receiving enough nutrients and oxygen.

Antidepressants: Some antidepressants, such as selective serotonin reuptake inhibitors (SSRIs), can cause hair loss by altering the levels of hormones and neurotransmitters in the body. This type of hair loss is usually temporary and can improve after switching to a different medication.

Hormonal medications: Hormonal medications, such as birth control pills and hormone replacement therapy, can cause hair loss by altering the levels of hormones in the body. This type of hair loss is usually temporary and can improve after stopping the medication.

Acne medications: Acne medications, such as isotretinoin, can cause hair loss by altering the production of sebum, a natural oil that lubricates the scalp and hair follicles.

Immunosuppressants: Immunosuppressants, such as cyclosporine and tacrolimus, can cause hair loss by suppressing the immune system, which can lead to hair follicle damage and hair loss.

If you are taking a medication and experiencing hair loss, it's essential to speak with your healthcare provider. They can determine if the medication is the cause of your hair loss and recommend alternative treatments or adjust the dosage.

In addition to medication-induced hair loss, medications can also affect hair health in other ways. For example, some medications can cause hair to become dry, brittle, or thin. Other medications can cause changes in hair texture, such as straightening or curling. It's important to discuss any changes in your hair with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan.

Medication-induced hair loss can occur due to various medications, and it can be temporary or permanent depending on the medication, dosage, and individual's sensitivity. If you are experiencing hair loss or changes in your hair due to medication, it's essential to speak with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan.

References

Almohanna, H. M., Ahmed, A. A., Tsatalis, J. P., & Tosti, A. (2019). The Role of Vitamins and Minerals in Hair Loss: A Review. Dermatology and therapy, 9(1), 51-70.

Blume-Peytavi, U., Whiting, D. A., Trüeb, R. M., & Tosti, A. (2011). Hair growth and disorders. Springer Science & Business Media.

Gupta, M., & Mysore, V. (2018). Classifications of patterned hair loss: a review. Journal of cutaneous and aesthetic surgery, 11(1), 3.

Kligman, A. M. (1988). The comparative histopathology of male-pattern baldness and senescent baldness. Clinics in dermatology, 6(4), 108-118.

Rushton, D. H., Norris, M. J., & Dover, R. (2002). Causes of hair loss and the developments in hair rejuvenation. International journal of cosmetic science, 24(1), 17-23.

Schweiger, E. S., & Boychenko, O. V. (2019). Medical and nutritional management of hair loss in women. Dermatologic clinics, 37(2), 147-157.

Sinclair, R. (2015). Female pattern hair loss: a pilot study investigating combination therapy with low‐dose oral minoxidil and spironolactone. International journal of dermatology, 54(3), 290-295.

Sinclair, R., Patel, M., & Dawson, T. L. (2017). Hair loss in women: medical and cosmetic approaches to increase scalp hair fullness. British Journal of Dermatology, 177(2), 345-352.

Trueb, R. M. (2002). Molecular mechanisms of androgenetic alopecia. Experimental gerontology, 37(8-9), 981-990.

07 - Age-Related Hair Loss: How Aging Affects Hair Growth and Loss

As we age, our bodies undergo various changes that can affect our hair health. In this chapter, we will discuss how aging affects hair growth and loss, and what can be done to prevent or slow down age-related hair loss.

One of the main reasons for age-related hair loss is hormonal changes. As we age, the levels of hormones such as estrogen and testosterone in our bodies change, which can affect the hair growth cycle. In men, testosterone levels increase, leading to male pattern baldness, while in women, estrogen levels decrease, leading to thinning of the hair.

Another factor that can contribute to age-related hair loss is a decrease in the number of hair follicles. As we age, the hair follicles shrink and lose their ability to produce hair, leading to hair thinning and loss.

Other factors that can contribute to age-related hair loss include:

Nutritional deficiencies: As we age, our bodies become less efficient at absorbing nutrients, which can lead to nutritional deficiencies that can impact hair health.

Medications: Many medications that are commonly prescribed to older adults, such as blood thinners and cholesterol-lowering drugs, can cause hair loss as a side effect.

Chronic illnesses: Chronic illnesses such as diabetes, lupus, and thyroid disorders can also contribute to hair loss as we age.

Stress: As we age, we may experience more stress, which can affect our hair health and contribute to hair loss.

There are several things that can be done to prevent or slow down age-related hair loss. These include:

Maintaining a healthy diet: Eating a balanced diet with adequate nutrients can help maintain hair health and prevent nutritional deficiencies.

Reducing stress: Engaging in stress-reducing activities such as meditation, yoga, or exercise can help reduce the impact of stress on hair health.

Avoiding damaging hair practices: Avoiding practices such as excessive heat styling, chemical treatments, and tight hairstyles can help prevent further damage to already weakened hair.

Using hair care products designed for aging hair: Using shampoos and conditioners designed for aging hair can help nourish and strengthen hair.

Seeking medical advice: If you are experiencing significant hair loss, it's important to speak with a healthcare professional to determine the underlying cause and develop an appropriate treatment plan.

Age-related hair loss is a common condition that can be caused by hormonal changes, nutritional deficiencies, medications, chronic illnesses, and stress. Maintaining a healthy diet, reducing stress, avoiding damaging hair practices, using hair care products designed for aging hair, and seeking medical advice can help prevent or slow down age-related hair loss.

References

Sinclair, R. (2007). Aging hair. Journal of cosmetic dermatology, 6(2), 75-76. doi: 10.1111/j.1473-2165.2007.00308.x

Trueb, R. M. (2008). Aging of hair. Journal of cosmetic dermatology, 7(1), 2-7. doi: 10.1111/j.1473-2165.2008.00343.x

Trüeb, R. M. (2015). The impact of oxidative stress on hair. International journal of cosmetic science, 37 Suppl 2(Suppl 2), 25-30. doi: 10.1111/ics.12271

Tobin, D. J. (2011). Aging of the hair follicle pigmentation system. International journal of trichology, 3(2), 6-14. doi: 10.4103/0974-7753.90888

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Trost, L. B., Bergfeld, W. F., & Calogeras, E. (2006). The diagnosis and treatment of iron deficiency and its potential relationship to hair loss. Journal of the American Academy of Dermatology, 54(5), 824-844. doi: 10.1016/j.jaad.2005.11.1104

Guo, E. L., & Katta, R. (2017). Diet and hair loss: effects of nutrient deficiency and supplement use. Dermatology practical & conceptual, 7(1), 1-10. doi: 10.5826/dpc.0701a01

Van Neste, D., & Rushton, H. (2020). Aging hair: a review of the pathophysiology of hair loss in the elderly. International journal of women's dermatology, 6(1), 18-23. doi: 10.1016/j.ijwd.2019.09.003

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Lee, W. S., Lee, H. J., Lee, J. Y., & Kwon, O. S. (2013). Evaluation of effectiveness of microneedling therapy in treating androgenetic alopecia. Dermatologic surgery, 39(12), 1843-1848. doi: 10.1111/dsu.12341

08 - Inflammatory Hair Loss: The Connection Between Inflammation and Hair Loss

Inflammatory hair loss occurs when chronic inflammation disrupts the hair growth cycle, leading to hair loss. This type of hair loss can be caused by a variety of factors, including autoimmune disorders, scalp infections, and skin conditions.

Autoimmune disorders such as alopecia areata and lupus can cause inflammation in the hair follicles, leading to hair loss. Alopecia areata is a condition where the immune system mistakenly attacks hair follicles, resulting in patchy hair loss. Lupus, an autoimmune disease that can affect various parts of the body, can cause hair loss as a result of inflammation in the scalp.

Scalp infections such as ringworm and folliculitis can also cause inflammatory hair loss. Ringworm is a fungal infection that can cause hair loss in circular patches, while folliculitis is an infection of the hair follicles that can cause inflammation and scarring.

Skin conditions such as psoriasis and seborrheic dermatitis can also lead to inflammatory hair loss. Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin and scalp, while seborrheic dermatitis is a common skin condition that causes redness, itching, and flaking of the scalp.

Inflammatory hair loss can also be caused by lifestyle factors, such as stress and diet. Chronic stress can lead to inflammation throughout the body, including in the scalp, which can disrupt the hair growth cycle and lead to hair loss. A diet high in processed foods, sugar, and saturated fats can also contribute to inflammation in the body, leading to hair loss.

Treatment for inflammatory hair loss depends on the underlying cause. For autoimmune disorders, medications such as corticosteroids or immunosuppressants may be prescribed to reduce inflammation and prevent further hair loss. Antifungal medications may be prescribed for scalp infections, while topical treatments such as shampoos or creams may be used to treat skin conditions.

In addition to medical treatments, lifestyle changes can also help reduce inflammation and promote healthy hair growth. Eating a balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins can help reduce inflammation in the body. Regular exercise, stress management techniques such as meditation or yoga, and getting adequate sleep can also help reduce inflammation and promote healthy hair growth.

Inflammatory hair loss is a type of hair loss that occurs when chronic inflammation disrupts the hair growth cycle. It can be caused by a variety of factors, including autoimmune disorders, scalp infections, skin conditions, stress, and diet. Treatment for inflammatory hair loss depends on the underlying cause, and may include medications, topical treatments, and lifestyle changes. If you are experiencing significant hair loss, it's important to speak with a healthcare professional to determine the underlying cause and develop an appropriate treatment plan.

References

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Villani AP, Perniola G, Peris K, Fabbrocini G. Alopecia areata: A comprehensive review of epidemiology, clinical features, and pathogenesis. J Autoimmun. 2020;109:102434. doi:10.1016/j.jaut.2020.102434

Pratt CH, King LE Jr, Messenger AG, Christiano AM, Sundberg JP. Alopecia areata. Nat Rev Dis Primers. 2017;3:17011. doi:10.1038/nrdp.2017.11

Goh C, Finkel M, Christos PJ, Sinha AA. Profile of 513 patients with alopecia areata: associations of disease subtypes with atopy, autoimmune disease and positive family history. J Eur Acad Dermatol Venereol. 2006;20(9):1055-1060. doi:10.1111/j.1468-3083.2006.01693.x

Shi Q, Chen J, Peng C, et al. Alopecia Areata: A Comprehensive Review of Pathogenesis and Management. Clin Rev Allergy Immunol. 2021;60(2):139-167. doi:10.1007/s12016-021-08892-1

Messenger AG, McKillop J, Farrant P, McDonagh AJ, Sladden M. British Association of Dermatologists' guidelines for the management of alopecia areata 2012. Br J Dermatol. 2012;166(5):916-926. doi:10.1111/j.1365-2133.2012.10849.x

Gilhar A, Etzioni A, Paus R. Alopecia areata. N Engl J Med. 2012;366(16):1515-1525. doi:10.1056/NEJMra1103442

09 - Traumatic Hair Loss: Understanding Hair Loss Due to Physical Trauma

Traumatic hair loss refers to hair loss that occurs due to physical trauma, such as injuries, burns, or surgery. This type of hair loss can be temporary or permanent, depending on the severity of the trauma and the body's ability to heal. In this chapter, we will discuss the causes and treatments for traumatic hair loss.

Causes of Traumatic Hair Loss

Traumatic hair loss can occur due to a variety of reasons, including:

Physical Trauma: Hair follicles can be damaged due to physical trauma, such as injuries or burns. Injuries can cause hair to fall out immediately, while burns can damage the hair follicles, leading to hair loss over time.

Surgery: Surgical procedures, such as hair transplant or scalp reduction, can lead to temporary hair loss due to the trauma caused to the scalp during the procedure.

Trichotillomania: This is a disorder characterized by a person's urge to pull out their own hair, resulting in hair loss.

Treatment for Traumatic Hair Loss

The treatment for traumatic hair loss depends on the severity of the condition and the underlying cause. Here are some treatment options:

Topical Medications: Topical medications, such as minoxidil, can be applied to the scalp to stimulate hair growth. However, they may not be effective for all types of hair loss.

Oral Medications: Oral medications, such as finasteride, can be prescribed to treat hair loss. However, they may have side effects and may not be suitable for everyone.

Hair Transplant: Hair transplant is a surgical procedure that involves transplanting healthy hair follicles from one part of the scalp to the balding area. This is a permanent solution to hair loss and is suitable for people with permanent hair loss.

Scalp Reduction: This is a surgical procedure that involves removing a section of bald scalp and stretching the hair-bearing scalp to cover the bald area.

Hairpieces: Hairpieces, such as wigs or hair weaves, can be used to cover the balding area. They are a temporary solution and need to be replaced periodically.

Prevention of Traumatic Hair Loss

Here are some tips to prevent traumatic hair loss:

Protect the scalp from injuries and burns by wearing a helmet or hat when engaging in activities that can cause head injuries or sunburn.

Avoid hair-pulling habits, such as trichotillomania.

Avoid exposing the scalp to harsh chemicals and styling tools, such as hair straighteners and curling irons.

Follow proper post-operative care instructions after undergoing hair transplant or scalp reduction surgery.

Traumatic hair loss can occur due to physical trauma, surgery, or trichotillomania. The treatment for traumatic hair loss depends on the severity of the condition and the underlying cause. Hair transplant, scalp reduction, and hairpieces are some of the treatment options. Prevention of traumatic hair loss involves protecting the scalp from injuries and burns, avoiding hair-pulling habits, and following proper post-operative care instructions.

References

Khumalo, N. P., Jessop, S., & Gumedze, F. (2017). Determinants of hair cortisol concentration in children: A systematic review. Psychoneuroendocrinology, 76, 1-10.

Kaliyadan, F., & Nambiar, A. (2013). Traumatic hair disorders: a review. Journal of Cutaneous and Aesthetic Surgery, 6(1), 3–10.

Rakowska, A., Slowinska, M., & Rudnicka, L. (2013). Trichoscopy as a new method for diagnosing hair loss. Journal of Drugs in Dermatology, 12(6), 651-656.

Sinclair, R. D. (2007). Acquired hair trauma. In T. P. G. Van der Kwast, R. A. C. Graham-Brown, A. D. A. M. Van der Velden, & R. A. C. Graham-Brown (Eds.), Textbook of Dermatology (4th ed., Vol. 1, pp. 1266–1277). Blackwell Publishing Ltd.

Tosti, A., & Piraccini, B. M. (2018). Telogen Effluvium after Trichotillomania. In Hair and Scalp Disorders (pp. 167-175). Springer, Cham.

Vujovic, A., Del Marmol, V., & Deumer, G. (2019). Hair shafts: A useful tool to explore the causes and mechanisms of hair loss. International Journal of Molecular Sciences, 20(20), 5076.

10 - Hair Loss Due to Chemical Treatments: The Impact of Hair Dyes, Perms, and Straightening Treatments

Chemical treatments like hair dyes, perms, and straightening treatments can significantly impact hair health, leading to hair loss, thinning, and breakage. In this chapter, we will discuss the impact of chemical treatments on hair health and how to minimize the risk of hair loss from these treatments.

Hair dyes can cause hair loss and thinning, especially if used frequently or improperly. The chemicals in hair dyes can damage the hair shaft, making it more prone to breakage and thinning. Some hair dyes contain ammonia, which can cause the hair cuticle to swell, leading to damage and breakage. Additionally, hair dyes can cause an allergic reaction, which can lead to temporary or permanent hair loss.

Perms and straightening treatments can also damage hair, leading to hair loss and thinning. The chemicals in these treatments can break down the protein bonds in hair, making it weaker and more prone to breakage. The high heat used in straightening treatments can also damage the hair cuticle, leading to breakage and thinning.

To minimize the risk of hair loss from chemical treatments, it's essential to follow the instructions carefully and choose high-quality products. Avoid using chemical treatments too frequently and give your hair time to recover between treatments. If you notice significant hair loss or thinning after a chemical treatment, speak with a hair care professional to determine the underlying cause and develop an appropriate treatment plan.

In addition to chemical treatments, other hair styling practices can also contribute to hair loss and thinning. Tight hairstyles, such as braids, ponytails, and cornrows, can cause hair loss and thinning, especially if worn frequently or for extended periods. Hair extensions can also damage hair, leading to hair loss and thinning.

To minimize the risk of hair loss from these styling practices, avoid wearing tight hairstyles too frequently and give your hair time to rest between styles. Choose high-quality hair extensions that are not too heavy or tight. If you notice significant hair loss or thinning from these styling practices, speak with a hair care professional to determine the underlying cause and develop an appropriate treatment plan.

Chemical treatments like hair dyes, perms, and straightening treatments can significantly impact hair health, leading to hair loss, thinning, and breakage. To minimize the risk of hair loss from these treatments, it's essential to follow the instructions carefully, choose high-quality products, and avoid using them too frequently. Additionally, other hair styling practices like tight hairstyles and hair extensions can also contribute to hair loss and thinning, so it's essential to be mindful of these practices as well.

References:

Guarrera, M., & Cardoza, K. (2019). The dangers of hair dye. Dermatology Practical & Conceptual, 9(1), 53-59.

Rakowska, A., Olszewska, M., Rudnicka, L., & Gradzińska, A. (2015). Hair shaft damage from heat and drying time of hair dryer. Annals of dermatology, 27(6), 659-662.

Dlova, N. C., & Mosam, A. (2015). Hair loss in women of color. International Journal of Women's Dermatology, 1(4), 185-190.

McMichael, A. J., & Dall'Oglio, F. (2017). Hair cosmetics: an overview. International Journal of Trichology, 9(1), 2-15.

11 - Autoimmune-Related Hair Loss: How Autoimmune Conditions Affect Hair Growth and Loss

Autoimmune-related hair loss can be a distressing condition, affecting both men and women of all ages. It is caused by an autoimmune response in which the body's immune system attacks healthy hair follicles, resulting in hair loss. There are several autoimmune conditions that can cause hair loss, including alopecia areata, lupus, Hashimoto's thyroiditis, psoriasis, and scleroderma.

Alopecia areata is a common autoimmune condition that affects approximately 2% of the population. It typically causes patchy hair loss on the scalp, but can also affect other parts of the body, such as the eyebrows and beard. The condition occurs when the immune system mistakenly attacks hair follicles, leading to hair loss. The severity of the hair loss can vary, ranging from small patches to complete baldness. In some cases, hair regrowth may occur on its own, while in others, treatment may be necessary to promote hair regrowth.

Lupus is another autoimmune condition that can cause hair loss. Lupus is a chronic autoimmune disease that can affect various parts of the body, including the skin, joints, and organs. Hair loss in lupus occurs due to inflammation of the hair follicles, which can cause scarring and permanent hair loss. The severity of hair loss can vary from mild to severe, and it can occur on the scalp, face, and other parts of the body.

Hashimoto's thyroiditis is an autoimmune condition that affects the thyroid gland, which produces hormones that regulate the body's metabolism. Hair loss in Hashimoto's thyroiditis occurs due to an imbalance in thyroid hormones, which can affect hair growth. The severity of hair loss can vary, and it may occur on the scalp, eyebrows, and other parts of the body. Treatment for Hashimoto's thyroiditis-related hair loss may involve medication to regulate thyroid hormone levels.

Psoriasis is a chronic skin condition that can cause scaly patches on the scalp and other parts of the body. Hair loss in psoriasis occurs due to inflammation and damage to the hair follicles. The severity of hair loss can vary, and it may occur on the scalp, eyebrows, and other parts of the body. Treatment for psoriasis-related hair loss may involve medications to reduce inflammation and promote hair regrowth.

Scleroderma is a rare autoimmune condition that can cause hardening and thickening of the skin, including the scalp, leading to hair loss. The severity of hair loss can vary, and it may occur on the scalp, face, and other parts of the body. Treatment for scleroderma-related hair loss may involve medications to reduce inflammation and promote hair regrowth, as well as procedures to restore blood flow to the scalp.

Treatment for autoimmune-related hair loss may involve medications to suppress the immune system, reduce inflammation, and promote hair regrowth. For alopecia areata, topical medications such as minoxidil can be effective in promoting hair regrowth. In more severe cases, systemic immunosuppressive medications may be necessary to prevent further hair loss. For lupus-related hair loss, medications such as hydroxychloroquine and corticosteroids may be used to reduce inflammation and immune system activity. In cases of Hashimoto's thyroiditis-related hair loss, thyroid hormone replacement therapy may be necessary to regulate thyroid hormone levels.

In some cases, hair transplantation or scalp reduction surgery may be necessary to restore hair growth. These procedures involve removing healthy hair follicles from one part of the scalp and transplanting them to the balding areas. Scalp reduction surgery involves removing the balding areas of the scalp and stretching the surrounding healthy skin to cover the area.

Autoimmune-related hair loss is a complex condition that can be caused by several autoimmune conditions. It occurs when the immune system mistakenly attacks healthy hair

References

Gilhar, A., & Kalish, R. S. (2006). Alopecia areata: a tissue-specific autoimmune disease of the hair follicle. Autoimmunity reviews, 5(1), 64-69.

Kridin, K., & Bergman, R. (2019). Psoriasis and autoimmune diseases: A systematic review. Journal of the American Academy of Dermatology, 80(6), 1496-1509.

Moneib, H. A., & Tawfik, A. A. (2019). Lupus-associated alopecia: diagnosis and therapeutic challenge. Journal of Cosmetic Dermatology, 18(5), 1495-1501.

Petukhova, L., Duvic, M., & Hordinsky, M. (2010). Genome-wide association study in alopecia areata implicates both innate and adaptive immunity. Nature, 466(7302), 113-117.

Ruzicka, T., & Bieber, T. (2019). Mechanisms of hair loss in autoimmune disorders. Journal of the European Academy of Dermatology and Venereology, 33(S6), 4-9.

Tosti, A., & Bellavista, S. (2020). Alopecia areata: overview and management. Indian Journal of Dermatology, 65(Suppl 1), S35.

Tosti, A., & Piraccini, B. M. (2021). Alopecia areata and its comorbidities. Expert Review of Clinical Immunology, 17(2), 125-134.

Villani, A., Fabbrocini, G., & Costa, C. (2020). Hair loss in Sjögren syndrome: review of the literature. Journal of Cosmetic Dermatology, 19(5), 1015-1021.

12 - Hair Loss Due to Scalp Conditions: Understanding the Impact of Dandruff, Psoriasis, and Seborrheic Dermatitis

Hair loss can be caused by various scalp conditions, including dandruff, psoriasis, and seborrheic dermatitis. These conditions can affect hair follicles, leading to hair loss and thinning.

Dandruff is a common scalp condition that causes flakes of skin to appear on the scalp and in the hair. It is caused by an overgrowth of yeast on the scalp, which can lead to irritation and inflammation. While dandruff itself does not usually cause hair loss, severe cases of dandruff can lead to itching and scratching, which can damage hair follicles and lead to hair loss.

Psoriasis is a chronic skin condition that can affect various parts of the body, including the scalp. Psoriasis on the scalp can cause red, scaly patches that may itch or burn. Hair loss in psoriasis occurs due to inflammation and damage to the hair follicles. In severe cases, psoriasis can cause scarring and permanent hair loss.

Seborrheic dermatitis is a common scalp condition that causes red, itchy, and flaky skin. It is caused by an overgrowth of yeast on the scalp, which can lead to inflammation and irritation. While seborrheic dermatitis itself does not usually cause hair loss, severe cases of the condition can lead to itching and scratching, which can damage hair follicles and lead to hair loss.

Treatment for hair loss due to scalp conditions may involve medications to reduce inflammation and promote hair regrowth. For dandruff and seborrheic dermatitis, medicated shampoos containing ingredients like ketoconazole or coal tar may be recommended. For psoriasis, medications like corticosteroids or biologics may be used to reduce inflammation and immune system activity.

In addition to medication, maintaining good scalp hygiene and avoiding harsh hair treatments can also help prevent hair loss due to scalp conditions. Avoiding tight hairstyles, using gentle hair care products, and avoiding excessive heat styling or chemical treatments can all help protect hair follicles and promote healthy hair growth.

Hair loss can be caused by various scalp conditions, including dandruff, psoriasis, and seborrheic dermatitis. These conditions can lead to inflammation and damage to hair follicles, resulting in hair loss and thinning. Treatment for hair loss due to scalp conditions may involve medication, good scalp hygiene, and avoiding harsh hair treatments. It is important to speak with a healthcare professional to determine the underlying cause of hair loss and develop an appropriate treatment plan.

References:

American Academy of Dermatology. Scalp psoriasis: Signs and symptoms. https://www.aad.org/public/diseases/hair-and-scalp-problems/scalp-psoriasis#symptoms. Accessed April 30, 2023.

American Academy of Dermatology. Seborrheic dermatitis. https://www.aad.org/public/diseases/scaly-skin/seborrheic-dermatitis#overview. Accessed April 30, 2023.

American Academy of Dermatology. Dandruff: How to treat. https://www.aad.org/public/diseases/hair-and-scalp-problems/dandruff-how-to-treat. Accessed April 30, 2023.

National Psoriasis Foundation. Scalp psoriasis. https://www.psoriasis.org/about-psoriasis/specific-locations/scalp. Accessed April 30, 2023.

National Eczema Association. Seborrheic dermatitis. https://nationaleczema.org/eczema/types-of-eczema/seborrheic-dermatitis/. Accessed April 30, 2023.

13 - Fungal Infections and Hair Loss: The Connection Between Fungal Infections and Hair Health

Fungal infections can cause hair loss by damaging the hair follicles and disrupting the hair growth cycle. There are several types of fungal infections that can affect the scalp and cause hair loss, including ringworm, tinea capitis, and folliculitis decalvans.

Ringworm, also known as tinea corporis, is a fungal infection that can affect various parts of the body, including the scalp. Ringworm on the scalp, also known as tinea capitis, can cause hair loss in circular patches. The infection is highly contagious and can be spread through direct contact with an infected person or animal or through sharing combs, brushes, hats, or other personal items.

Folliculitis decalvans is a rare type of folliculitis that can cause hair loss on the scalp. The condition occurs when the hair follicles become inflamed due to a bacterial or fungal infection. Folliculitis decalvans can cause scarring and permanent hair loss if left untreated.

Treatment for fungal infections that cause hair loss may involve antifungal medications, such as topical creams, shampoos, or oral medications. In some cases, oral steroids may also be prescribed to reduce inflammation and promote hair regrowth.

Prevention measures for fungal infections include avoiding direct contact with infected individuals or animals, avoiding sharing personal items such as combs and brushes, and practicing good hygiene, such as washing hands regularly and keeping the scalp clean and dry.

Fungal infections can cause hair loss by damaging the hair follicles and disrupting the hair growth cycle. Ringworm, tinea capitis, and folliculitis decalvans are types of fungal infections that can affect the scalp and cause hair loss. Treatment for fungal infections that cause hair loss may involve antifungal medications, oral steroids, and good hygiene practices. It is important to speak with a healthcare professional to determine the underlying cause of hair loss and develop an appropriate treatment plan.

References:

Amado-Quiles, I., & Ramos-Rodríguez, C. (2017). Tinea capitis. In StatPearls [Internet]. StatPearls Publishing.

Caputo, R., & De Berker, D. (2018). Tinea capitis: Diagnosis and management. American Family Physician, 98(5), 275-282.

Gathers, R. C., Lim, H. W., & Young, A. (2013). Tinea capitis: An overview. Dermatology Online Journal, 19(11), 20392.

Gupta, A. K., & Bluhm, R. (2004). Seborrheic dermatitis. Journal of the European Academy of Dermatology and Venereology, 18(S2), 13-16.

Kocak, M., & Karakus, O. (2015). Folliculitis decalvans. Dermatology and Therapy, 5(1), 23-36.

Sahoo, A. K., & Mahajan, R. (2016). Management of tinea capitis: Current concepts. Indian Journal of Dermatology, 61(4), 375-382.

Selimoglu, M. A., Korkmaz, M., Sahin, S., Meteoglu, I., & Ertekin, C. (2017). Folliculitis decalvans successfully treated with rifampicin and clindamycin combination therapy. Dermatologic Therapy, 30(3), e12461.

14 - Hair Loss Due to Radiation Therapy: The Impact of Cancer Treatment on Hair Health

Hair loss is a common side effect of radiation therapy, which is a type of cancer treatment that uses high-energy radiation to destroy cancer cells. Radiation therapy can cause hair loss on the scalp and other parts of the body, depending on the location of the radiation treatment. The severity and duration of hair loss may vary depending on the radiation dose, the duration of treatment, and individual factors such as age and health status.

Radiation therapy works by damaging the DNA of cancer cells, which prevents them from growing and dividing. Unfortunately, radiation can also damage healthy cells in the body, including hair follicles, which can lead to hair loss. The hair loss may occur gradually over time or may happen suddenly, depending on the type of radiation therapy and the dose of radiation.

There are several factors that can influence the extent and duration of hair loss due to radiation therapy. For example, hair loss is more likely to occur when the radiation treatment is focused on the head and neck region, such as in the treatment of brain tumors, throat cancer, or breast cancer. Hair loss may also be more severe in patients who receive a high dose of radiation or who undergo radiation therapy for a longer period of time.

In general, the hair loss due to radiation therapy is temporary and may begin to grow back several months after treatment ends. However, the regrowth may be slower than normal and the hair may be thinner or have a different texture. In some cases, the hair may not grow back fully or may grow back in a different pattern than before.

There are several strategies that can help manage hair loss due to radiation therapy. One approach is to use scalp cooling or cold caps, which are devices that reduce blood flow to the scalp during radiation therapy. This can help protect the hair follicles from damage and may reduce the severity of hair loss. However, not all cancer treatment centers offer scalp cooling, and it may not be appropriate for all patients.

Another strategy is to use wigs, hairpieces, or scarves to cover the hair loss. These can help improve self-esteem and reduce anxiety about hair loss during and after treatment. It is important to choose wigs and hairpieces made from breathable materials and to avoid using products that could irritate the scalp or cause additional hair loss.

Patients undergoing radiation therapy should also take good care of their scalp and hair. This includes using mild, fragrance-free shampoo and conditioner, avoiding harsh chemicals and heat styling tools, and protecting the scalp from sun exposure. It is also important to follow the recommendations of the healthcare team regarding hair care during and after treatment.

Hair loss is a common side effect of radiation therapy, which can damage hair follicles and lead to hair loss on the scalp and other parts of the body. The severity and duration of hair loss may vary depending on the radiation dose, the duration of treatment, and individual factors. While the hair loss due to radiation therapy is usually temporary, it can be a source of anxiety and distress for many patients. Strategies such as scalp cooling, using wigs or hairpieces, and taking good care of the scalp and hair can help manage hair loss and improve quality of life during and after treatment.

References:

American Cancer Society. Hair loss (alopecia) from cancer treatment. https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/hair-loss.html. Accessed April 22, 2022.

National Cancer Institute. Radiation therapy and you: support for people with cancer. https://www.cancer.gov/publications/patient-education/radiationttherapy.pdf. Accessed April 22, 2022.

Cutright DE, Ranalli DN, Gambino AJ. Scalp hypothermia: a review of its effects on alopecia. Semin Oncol.

15 - Prevention and Treatment of Hair Loss: Tips for Maintaining Healthy Hair and Treating Hair Loss.

Hair loss can be a distressing experience for many people, but there are several things that can be done to prevent and treat it. Here are some tips for maintaining healthy hair and treating hair loss:

Eat a balanced diet: A healthy diet can provide the nutrients necessary for healthy hair growth. Make sure to include foods rich in protein, iron, zinc, and vitamins A, C, and D.

Avoid harsh hair treatments: Chemical treatments, such as hair dye, perms, and straightening treatments, can damage the hair and lead to breakage and hair loss. Try to limit or avoid these treatments.

Practice good hair hygiene: Wash your hair regularly with a gentle shampoo and conditioner. Avoid using hot water and harsh shampoos that can strip the hair of its natural oils.

Manage stress: Stress can contribute to hair loss. Engage in activities that help you manage stress, such as exercise, yoga, or meditation.

Protect your hair: Protect your hair from damage caused by heat, sunlight, and friction. Wear a hat or scarf when in the sun and use a heat protectant spray when using styling tools.

Seek medical advice: If you are experiencing hair loss, it is important to seek medical advice. Your healthcare provider can determine the underlying cause of your hair loss and recommend appropriate treatment.

Treatment options for hair loss vary depending on the underlying cause. Here are some common treatments:

Medications: Medications, such as minoxidil and finasteride, can be used to promote hair growth and prevent further hair loss. These medications work by stimulating hair follicles and blocking the effects of hormones that can cause hair loss.

Hair transplant: Hair transplant surgery involves taking hair from an area of the scalp where hair is still growing and transplanting it to the balding area. This can be an effective option for some people with hair loss.

Platelet-rich plasma (PRP) therapy: PRP therapy involves injecting a concentrated solution of platelets into the scalp to stimulate hair growth. This treatment is relatively new and its effectiveness is still being studied.

Scalp reduction surgery: Scalp reduction surgery involves removing the balding area of the scalp and stretching the remaining skin to cover the area. This can be an effective option for people with extensive hair loss.

Wigs and hairpieces: Wearing a wig or hairpiece can be a temporary solution for hair loss. There are many options available that can look natural and be customized to fit your needs.

Maintaining healthy hair and treating hair loss involves a combination of lifestyle changes, medical treatments, and cosmetic solutions. Eating a balanced diet, practicing good hair hygiene, and managing stress can help prevent hair loss. Treatment options for hair loss include medications, hair transplant surgery, PRP therapy, scalp reduction surgery, and wigs and hairpieces. It is important to speak with a healthcare professional to determine the underlying cause of hair loss and develop an appropriate treatment plan.

References

U.S. Food and Drug Administration. (2019). Hair Loss & Hair Products: FAQs. Retrieved from https://www.fda.gov/cosmetics/cosmetic-products/hair-loss-hair-products-faqs

American Academy of Dermatology Association. (n.d.). Hair Loss: Diagnosis, Treatment, and Outcome. Retrieved from https://www.aad.org/public/diseases/hair-loss/diagnosis-treatment

Mayo Clinic. (2020). Hair Loss. Retrieved from https://www.mayoclinic.org/diseases-conditions/hair-loss/diagnosis-treatment/drc-20372932

American Hair Loss Association. (n.d.). Hair Loss Prevention. Retrieved from https://www.americanhairloss.org/men_hair_loss/prevention.asp

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Alopecia Areata. Retrieved from https://www.niams.nih.gov/health-topics/alopecia-areata

American Academy of Dermatology Association. (n.d.). Alopecia Areata: Signs and Symptoms. Retrieved from https://www.aad.org/public/diseases/hair-loss/alopecia-areata#symptoms

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Lupus. Retrieved from https://www.niams.nih.gov/health-topics/lupus

American Academy of Dermatology Association. (n.d.). Lupus and the Skin. Retrieved from https://www.aad.org/public/diseases/rashes/lupus-and-the-skin

American Thyroid Association. (n.d.). Hashimoto's Thyroiditis. Retrieved from https://www.thyroid.org/hashimotos-thyroiditis/

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Psoriasis. Retrieved from https://www.niams.nih.gov/health-topics/psoriasis

American Academy of Dermatology Association. (n.d.). Scalp Psoriasis: Symptoms and Diagnosis. Retrieved from https://www.aad.org/public/diseases/hair-loss/psoriasis#symptoms

American Academy of Dermatology Association. (n.d.). Seborrheic Dermatitis: Overview. Retrieved from https://www.aad.org/public/diseases/scaly-skin/seborrheic-dermatitis#overview

American Hair Loss Association. (n.d.). Hair Loss Treatments. Retrieved from https://www.americanhairloss.org/men_hair_loss/treatment.asp

Mayo Clinic. (2020). Hair Loss: Lifestyle and Home Remedies. Retrieved from https://www.mayoclinic.org/diseases-conditions/hair-loss/diagnosis-treatment/drc-20372932

American Academy of Dermatology Association. (n.d.). Hair Loss: Diagnosis and Treatment. Retrieved from https://www.aad.org/public/diseases/hair-loss/diagnosis-treatment


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