Anagen effluvium occurs when hair production is arrested in the anagen phase. That said, this mainly happens when cancer chemotherapy, immunosuppression or radiotherapy causes rapid hair loss. Typical clinical presentation is with well circumscribed bald patches on the scalp or beard area. Exclamation mark hairs might be found around the margins and are said to be pathognomonic but not invariable. Alopecia areata is a chronic inflammatory disease, that affects hair follicles and sometimes nails. Make sure you leave a comment about it in the comment form. Mostly there’s no scarring or scaling on the skin. Certainly, there’s a tendency for it to run in families and I know it’s linked to various genes and gene complexes. Stress is sometimes given as a factor but it might be that the disease is the cause rather than the result of stress. There is much support for an autoimmune component, that said, this condition is of unknown aetiology. And so it’s more common in acquired thyroid disease, vitiligo, diabetes and collagen diseases.
Patients undergoing cancer chemotherapy are entitled to free NHS wigs.
Therefore a wig should be very uncomfortable to wear, if the treatment includes hormonal manipulation that may induce hot flushes.
Within a few months of stopping chemotherapy the hair will usually return.
Minoxidil shortens the alopecia by about 50 days. Scarves, hairpieces and wigs can be useful. It can be very psychologically damaging for people in a vulnerable situation. Therefore this can be an acute or chronic condition but the chronic condition may go unnoticed. Chronic diffuse telogen hair loss should be idiopathic or should be secondary to an organic cause. With that said, management is the correction it is between one and six months. Telogen effluvium occurs when physiological or hormonal stress triggers many hairs to move into telogen phase.
It’s classified as a psychiatric disorder but results in a sort of traumatic alopecia.
Most individuals report pleasurable feelings during or after pulling out hairs.
There might be boredom, tension or anxiety before pulling episodes and a significant reduction in such negative emotions following pulling. It might be possible to see that the individual wraps the hair around a finger and pulls on it, perhaps when concentrating on something like when studying. Also, genetic and environmental factors was implicated. Starts most often in adolescence, it can occur at any age. Trichotillomania, or ‘hairpulling’ disorder, is a behavioural disorder which may have links with obsessive compulsive disorder. With broken hairs across the bald patch which are not easily removed, hair loss is asymmetrical and has an unusual shape. Single or multiple areas can be affected, including eyebrows, eyelashes and pubic hair. It might be associated with other conditions, particularly mood and anxiety disorders.