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| Alopecia |
Alopecia
It mean loss of hair n is a sign rather than diagnosis.- detail history, cair ful scalp exam^ n complete physical exam^ shud enable a confident diagnosis to b made.
CLASSIFICATION
LOCALISED
1 Non scarring
- Tinea capitis
- alopecia areata
- androgenetic alopecia
- traumatic
- syphilis.
2 scarring
- idiopathic
- developmental defects
- harpes zoster
- pseudopelade
- radiotheropy
DIFFUSE
- androgenetic alopecia
- Telogen effluvium
- metabolic
- hypo n hyperthyroidism
- hypopituitarism
- DM
- HIV
- nutritional deficiency.
INVESTIGATION
- Complete bld picture
- ESR
- Urea n electrolytes
- LFT n TFT
- treponema pallidum haemagluitination
test.
- hair pluck test.
- scalp biopsy.
MANAGEMENT
- tretment is difficult
- alopecia areata is responds to topical steroid.
- androgetic alopecia is treated wit systemic steroid.
- wig may b the most appropriae treatment for extensive alopecia
- scalp surgery n autologous hair transplants r expensive but sometine effective in androgenetic alopecia.
-by pam
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