AlopeciaStandards

Aegean Master Meating-2011 Dr. V. Bekou

The complaints can be divided into

(1)hair loss

(2) Increased hair growth

(3)abnormal hair quality

Hair-complaints

Alopecia visible reduction of hair density > 30 % 

Effluvium > 100 hairs daily > a longer time period (2–4w)

Androgenetic alopecia miniaturization of hair follicles over many haircycles

Alopecia areata inflammatory infiltrates, dystrophic anagen hairs,

shortend hair cycle, prolonged telogen phase

Intermidiate type effluv.Strong noxious agent, hair shuft interruption,

dystrophic anagen hairs

Diffuse telogen effluv. moderate noxious agent, deficiencies, disease,

increased conversion in telogen phase

Definition

Alopecia areataAlopecia areata

Alopecia areataAlopecia areata

Alopecia mechanicaAlopecia mechanica

Alopecia diffusaAlopecia diffusa

Lichen ruber planopilarisLichen ruber planopilaris

Lichen ruber planopilarisLichen ruber planopilaris

Hair pull test 50-60 hairs, activity ofdifferent areas disease

(AGA:pos.frontal)

Hair rub test rub hair shafts indication of increased

fragilityDermatoscopy exam. Shafts and yellow dots:AA,

scalp scars?Trichogram 5 d after washing hair cycle rate

frontal-occipitalPhototrichogram shaving standardizedanagen-telogen rate

areasLongitudinal mounting mounting of cut hair hair-shaft structure

Overview photography standardized positions monitor course

Skin biopsy from active margin histo-immunhisto, scars?in direction ofhair growth

Diagnostic methods

Helpful and practical things for daily living

Extensions

Hair weaving

Bonding

Hairpiece, toupee

Synthetic wig

Real hair wig

Permanent make up

Sprinkle hair

Hair transplantation

Thank you for the attention