An Algorithm for the Diagnosis of Female Hair Loss
|
|
- Caroline West
- 7 years ago
- Views:
Transcription
1 An Algorithm for the Diagnosis of Female Hair Loss AK Gupta, MD, PhD, FRCP(C) 1,2 ; KA Foley, PhD 2 1 Department of Medicine, University of Toronto, Toronto, Canada 2 Mediprobe Research Inc., London, Canada
2 Background and Objective Women with hair loss often experience psychological or social distress and will seek medical advice or assurance from physicians. Numerous etiologies exist that can have similar clinical presentations. This can create difficulties for practitioners in arriving at a diagnosis. PubMed and Scopus databases, Hair Transplant Forum International, reference lists of publications, and relevant textbooks were searched. Objective: To create an algorithm that could aid physicians in differentiating the many hair loss conditions, with a focus on defining clinical characteristics.
3 Diagnostic Tools Detailed Patient History: Lines of Inquiry Family history of hair loss Hair loss progression Nature of hair loss Location Physical symptoms/ signs Hair care practices Recent trauma or surgery Medication use/recent illness Hormone or contraceptive use Trichoscopy: Acute (recent) vs. Chronic (steady or sporadic) Shedding, thinning, or breaking Diffuse vs. Localized (temporal, central part, other body areas) Acne, hirsutism, psoriasis, blisters, dermatitis Chemical treatment, excessive heat or brushing, hair style e.g., parturition e.g., chemotherapeutic agents Dermatoscopic investigation of the hair and scalp that is non-invasive and is instrumental to assessing hair loss in an outpatient setting Pull test: Determine hair shedding (positive test) vs. hair thinning (negative test) Hair card: Determine growing hair from broken hair Hair Mount and Scalp Biopsy: Microscopic examination of hair to detect structural abnormalities, hair density, and presence of inflammatory infiltrate Han and Mirmirani, SeminCutanMedSurg 2006, 25:11-23; Miteva and Tosti, JAAD 2012, 67:1040-8; Mubki et al., JAAD 2014, 71:415
4 Algorithm Non-Scarring Alopecias Diffuse Patchy Pattern Telogen Effluvium Anagen Effluvium Alopecia Areata (AA) Tinea Capitis Female Pattern Hair Loss (FPHL) Alopecia Areata (AA) Loose Anagen Syndrome Trichotillomania Traction Alopecia (Peripheral Scalp)
5 Narrowing the Diagnosis Cicatricial (Scarring) Alopecias (CAs) The absence of follicular ostia and presence of inflammation distinguishes CA from AA and FPHL. Symptoms may include pain, itching, burning sensations, as well as blistering, scaling, and/or erythema. Certain CAs may be more common in women: Frontal fibrosing alopecia (FFA, particularly postmenopausal women), Central centrifugal cicatricial alopecia (CCCA, particularly in African American women), Discoid lupus erythematosus (DLE) Non-Scarring Alopecias Diffuse Hair Loss Clinical Presentation Defining Characteristics Telogen Effluvium Anagen Effluvium Alopecia Areata Excessive hair shedding over entire scalp, may be precipitated by external events in the months prior. Hair breakage, large amount of hair loss within a short period of time, including multiple body areas. Complete alopecia of the entire scalp (alopecia totalis, AT) or body (alopecia universalis, AU). Can also cause diffuse thinning and look similar to FPHL or TE. Pull test: club hairs present Dermatoscopy: empty follicles and short re-growing hairs may appear Dermatoscopy (chemotherapy-induced): Black dots and/or monilethrix-like hairs may be present in some cases Presence of dystrophic anagen hair or a scalp biopsy can confirm AA Dermatoscopy: see patchy hair loss Loose Anagen Syndrome Tends to affect children Hair pull test will show loosely anchored and painless removal of hair Dermatoscopy: Sparse hairs, decreased number of hair shafts per follicular unit Miteva and Tosti, JAAD 2012, 67:1040-8; Mubki et al., JAAD 2014, 71:415; Mubki et al., JAAD 2014, 71:431
6 Narrowing the Diagnosis Non-Scarring Alopecias Patchy Hair Loss Clinical Presentation Defining Characteristics Alopecia Areata Tinea Capitis Trichotillomania Increased hair shedding resulting in one or more clearly defined patches of hair loss, patches appear smooth with normal follicles, may include eyebrows Round patch of hair loss with hair breakage, with/without inflammation, erythema, pruritus, and/or pustules Rough patches of hair loss with broken or twisted hairs of varying lengths found in the bald areas. Usually begins in childhood, can include skin or nail picking. Dermatoscopy: Exclamation hairs, black dots, broken hairs (active disease); Yellow dots, vellus hairs (severe long-term and low disease activity) Mycological examination to confirm Dermatoscopy: Comma and corkscrew hairs Broken or twisted hairs in scalp or other body areas. Dermatoscopy: Coiled hairs (not in all cases) Pattern Hair Loss Clinical Presentation Defining Characteristics Female Pattern Hair Loss Traction Alopecia Thinning in the central crown area, sparing the frontal hairline OR a Christmas tree pattern along central part, with frontal accentuation of hair thinning. Along the outer hair line, usually in frontal and temporal areas. Mostly affects African American women with tight hairstyles. Miniaturized hair, Christmas tree pattern Dermatoscopy: Varying hair shaft diameters Dermatoscopy: Hair casts around shafts at periphery of patches with active traction Miteva and Tosti, JAAD 2012, 67:1040-8; Mubki et al., JAAD 2014, 71:415; Mubki et al., JAAD 2014, 71:431
www.healthoracle.org 1
How does hair grow and should it recycle? A single hair follicle grows its hair strand over a period of four to six years (the anagen phase). It then rests for two to four months (the telogen phase), after
More informationSTOP HAIR LOSS DR JOYCE LIM DERMATOLOGIST PARAGON MEDICAL CENTRE #11-16/20
STOP HAIR LOSS DR JOYCE LIM DERMATOLOGIST PARAGON MEDICAL CENTRE #11-16/20 HAIR LOSS Types of Hair loss What causes them What are the solutions HAIR LOSS PATCHY HAIR LOSS PATCHY HAIR LOSS Single/ Multiple
More informationwhere hair grows Hair Restoration NO SCARS NO PAIN NO STRIPS It s your Hair - 100% Natural Results
where hair grows Hair Restoration NO SCARS NO PAIN NO STRIPS It s your Hair - 100% Natural Results GOING BALD? HAIR LOSS? THINNING? NO MORE! - HAIR RESTORATION FROM FUECLINICS Hair transplantation involves
More informationOxford University Hospitals. NHS Trust. Dermatology Department Frontal Fibrosing Alopecia. Information for patients
Oxford University Hospitals NHS Trust Dermatology Department Frontal Fibrosing Alopecia Information for patients What is Frontal Fibrosing Alopecia (FFA)? FFA is a condition which causes hair loss, mainly
More informationCERTIFICATION COURSES Information and Application
CERTIFICATION COURSES Information and Application Why take a course through the World Trichology Society? The World Trichology Society is an organization dedicated to raising the standards and improving
More informationHAIR LOSS IN WOMEN. by DAVID SALINGER. www.hair-loss-centre.com.au
HAIR LOSS IN WOMEN by DAVID SALINGER HAIR LOSS IN WOMEN Loss of hair does worry people and when you realise that so many factors can be responsible for hair loss, you can appreciate that it is important
More informationHow To Treat Hair Loss
WHAT S INSIDE: Learn the Reasons for Hair Loss and What You Can Do About It There Is a Treatment for Every Hair Loss Condition Stop Contributing to Your Hair Loss An Ounce of Prevention Can Save You Both
More informationDiffuse hair loss: Its triggers and management
REVIEW CME CREDIT EDUCATIONAL OBJECTIVE: Readers will recognize when hair loss may be the result of a trigger disrupting the normal cycle of hair growth Shannon Harrison, MBBS, MMed Clinical Research Fellow,
More informationAll About Human Hair and Hair Loss. 1. Story
All About Human Hair and Hair Loss 1. Story Hair has always been an important sign of beauty. This is especially true for women. Next to the face, hair is one of the main qualities people look for when
More informationX-Plain Alopecia Reference Summary
X-Plain Alopecia Reference Summary Introduction Hair loss is very common in both men and women. You or someone you love may be experiencing hair loss. Hair follicle Learning about normal hair growth is
More informationHAIR LOSS QUESTIONNAIRE
NAME DATE HAIR LOSS QUESTIONNAIRE Please tell me more about your hair loss condition by answering the following questions. For some questions you will need to mark the YES or NO box at the right. For other
More informationGetting to the Root of Hair Loss
26 March 2012 MP3 at voaspecialenglish.com Getting to the Root of Hair Loss Reuters An example of male pattern baldness SHIRLEY GRIFFITH: This is SCIENCE IN THE NEWS in VOA Special English. I'm Shirley
More informationHair Loss. The medical term for hair loss is alopecia and there are many types. What is the normal cycle of hair growth and loss?
Hair Loss By Eamonn Brady (MPSI) The medical term for hair loss is alopecia and there are many types. What is the normal cycle of hair growth and loss? Hair is composed of protein called keratin. Keratin
More informationWelcome to the Hair and Nail Clinic 2008
Welcome to the Hair and Nail Clinic 2008 The expectations for each resident rotating through the Hair & Nail Clinic are outlined below. HAIR AND NAIL CLINIC Goals and Objectives for First Year Residents
More informationpage 1 HAIR LOSS TREATMENT: EFFICACY STUDY (6 months)
page 1 HAIR LOSS TREATMENT: EFFICACY STUDY (6 months) page 2 HAIR LOSS TREATMENT: EFFICACY STUDY (6 months) Report nº: 07301-4 Study Managers: Auxiliary Staff: Client: Encarnación Gómez María Teresa Alcalde
More informationBefore you know about your future see your past before improving your future hair see what has been and is the state of your hair now Ravi Bhanot
Chapter 1 All you need to know about hair almost Before you know about your future see your past before improving your future hair see what has been and is the state of your hair now Ravi Bhanot Typically
More informationNot Your Father s Hair Restoration: The Latest Clinical Advancements from Lasers to Robots in Treating in Men and Women
Not Your Father s Hair Restoration: The Latest Clinical Advancements from Lasers to Robots in Treating in Men and Women Robert T. Leonard, Jr., DO, FAACS, FISHRS Founder and Chief Surgeon Leonard Hair
More informationMane Australia. FAQs. General Questions
Mane Australia There is no guaranteed cure for hair loss, but with Mane you can have instantly thicker, natural looking hair in seconds; without the need for expensive clinical treatments, drugs or painful
More informationHair loss is a common problem
Diagnosing and Treating Hair Loss ANNE L. MOUNSEY, MD, The University of North Carolina, Chapel Hill, North Carolina SEAN W. REED, MD, University of Virginia, Charlottesville, Virginia Physicians should
More informationWhat is androgenetic alopecia?
What is androgenetic alopecia? Androgenetic alopecia is also called male pattern alopecia. It refers to a symptom that develops after puberty, influenced by the androgen, where thinning and/or loss of
More informationNotes on Hair Analysis
Notes on Hair Analysis I have found local veterinarians very uncooperative when trying to get samples of dog and cat fur. I have found neighbors, friends and relatives a much better source of fur. There
More informationHIRSUTISM. What are the aims of this leaflet?
HIRSUTISM What are the aims of this leaflet? This leaflet has been written to help you understand more about hirsutism. It tells you what it is, what causes it, what can be done about it, and provides
More informationAcne (Acne Vulgaris) A common type of bacteria that lives on the skin, known as Propionibacterium acnes, sometimes
Acne (Acne Vulgaris) Acne, clinically known as acne vulgaris, is the most common skin disease. It affects 85% of teenagers, some as young as 12, and often continues into adulthood. It is also called pimples,
More informationThis book is a one-of-a-kind resource for the eighty-five million American adults facing hair loss. Its up-to-the-minute summaries of science and
This book is a one-of-a-kind resource for the eighty-five million American adults facing hair loss. Its up-to-the-minute summaries of science and research make it an authoritative reference tool for doctors.
More informationPROPERTIES OF THE HAIR AND SCALP
PROPERTIES OF THE HAIR AND SCALP 1. The scientific study of hair, its diseases and care is called: a. dermatology c. biology b. trichology d. cosmetology 2. The two parts of a mature hair strand are the
More informationINSTRUCTIONS FOR USE OF BioBeam TM Acne
INSTRUCTIONS FOR USE OF BioBeam TM Acne BioBeam ACNE is a Class 2A phototherapeutic medical device and complies with Annex VI of the Medical Device Directive 93/42/EEC and is CE certified (CE 0473). BioBeam
More informationHair loss? I ve got a grip on it! Brochure for women on hair loss and its treatment. Dependably effective against hair loss
Hair loss? I ve got a grip on it! Brochure for women on hair loss and its treatment Dependably effective against hair loss Hair is part of a woman s natural beauty. Hair loss is more than a medical problem
More informationB. Disorders of sebaceous glands
Go Back to the Top To Order, Visit the Purchasing Page for Details B. Disorders of sebaceous glands 1. Acne vulgaris It most frequently occurs on the face of adolescent men and women. Comedones, folliculitis,
More informationBasics. Hair Follicle. Adult human has 5 million follicles All are present at birth About 1 million on head and 100,000 alone on scalp
Basics Hair Follicle Adult human has 5 million follicles All are present at birth About 1 million on head and 100,000 alone on scalp Hair Follicle: cycling Each hair follicle perpetually cycles through
More informationLeukocytoclastic Vasculitis and Stasis Dermatitis With Id Reaction
Id Reaction December 01, 2007 By David L. Kaplan, MD [1] A Photo Quiz to Hone Dermatologic Skills Case 1: A slightly pruritic eruption developed on the lower legs of a 39-year-old woman after she had an
More informationProceeding of the NAVC North American Veterinary Conference Jan. 8-12, 2005, Orlando, Florida
Proceeding of the NAVC North American Veterinary Conference Jan. 8-12, 2005, Orlando, Florida Reprinted in the IVIS website with the permission of the NAVC http:/// Small Animal - Dermatology CLINICAL
More informationIs Rogaine Effective For Facial Hair Growth
Is Rogaine Effective For Facial Hair Growth rogaine minoxidil topical solution 5 minoxidil rogaine price india ordering rogaine in canada can you use rogaine on your beard using rogaine for hairline rogaine
More informationTreatment of Hair Loss
Treatment of Hair Loss Prof.Dr. Hoda Rasheed Professor of dermatology Faculty of medicine Cairo University Causes of hair loss Androgens Aging of the follicles Decreased blood supply Decresed thickness
More informationX-Plain Psoriasis Reference Summary
X-Plain Psoriasis Reference Summary Introduction Psoriasis is a long-lasting skin disease that causes the skin to become inflamed. Patches of thick, red skin are covered with silvery scales. It affects
More informationSTATE OF THE ART SURGICAL TECHNIQUE: FOLLICULAR UNIT HAIR GRAFTING
STATE OF THE ART SURGICAL TECHNIQUE: FOLLICULAR UNIT HAIR GRAFTING Author: Jeffrey S. Epstein, M.D., F.A.C.S. Clinical Professor, University of Miami Private Practice, Miami, FL 305.666.1774 305.666.6708
More informationIntroduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.
Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime
More informationOVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional
OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.
More informationSmoothbeam Laser Treatment of Acne Vulgaris. Emerging Applications
Smoothbeam Laser Treatment of Acne Vulgaris Emerging Applications About Acne Vulgaris Very common - Affects 80% of population Almost every person experiences acne Most common reason to visit dermatologist
More informationwww.umass.edu/mycenter
Aromatherapy can be defined as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize and promote the health of body, mind and spirit. It is an art and
More informationBlood in the Urine (Haematuria)
Kidney Health Information Blood in the Urine (Haematuria) What is blood in the urine? Sometimes blood in the urine can be seen, but at other times it is present in such small quantities that it is not
More informationThere Are Millions of People at Risk For Dry Eye Who Is Likely to Develop This Irritating Condition?
There Are Millions of People at Risk For Dry Eye Who Is Likely to Develop This Irritating Condition? Dry eye can be a temporary or chronic condition and occurs when the eye does not produce tears properly,
More informationCountless medications, nutrients, herbs, and chemicals have
9Drugs That Grow Hair Countless medications, nutrients, herbs, and chemicals have been claimed to stop or reverse hair loss, however when tested scientifically in well controlled, double-blind clinical
More informationHair Loss: An Insider Guide to Hair Restoration and Replacement
Hair Loss: An Insider Guide to Hair Restoration and Replacement November 2013 Why you may want more hair. Typically, people don t realize their hair is thinning until they ve lost 50% of it. By age 35,
More informationScalp hair grows in cycles, with each hair follicle
Original STUDY Polyherbal Formulation (Hairzone Solution) in the Management of Diffuse Hair Loss: Post Marketing Safety and Efficacy Study J Prasad*, Suprabha Hegde** Abstract Hair loss is a common and
More informationWhat are the symptoms of a vulval skin condition?
Information for you Published in December 2013 (next review date: 2016) Skin conditions of the vulva About this information This information is for you if you want to know about skin conditions affecting
More informationThere are a wide range of factors that can impact on the health of the hair and hair growth.
Welcome to Viviscal Viviscal, one of the best selling hair growth supplement in the US, is now available with TVSN. The Viviscal brand of hair care products is enjoying rapid and substantial growth in
More informationHair. *credit to Anthony and Patti Bertino for image. Dec 2 8:10 PM
Hair *credit to Anthony and Patti Bertino for image Dec 2 8:10 PM 1 Essential Question: How can hair be used to solve a crime? Dec 2 8:12 PM 2 History of hair evidence criminal evidence in 1800's 1883
More informationDermatology Dr. Faraidoon Lecture 1 Hair Disorders
Dermatology Dr. Faraidoon Lecture 1 Hair Disorders Hair is a filamentous (threadlike) biomaterial, that grows from follicles found in the dermis. Is composed of protein, notably keratin. Hair is one of
More informationProvide hair extension services
Provide hair extension services UV30380 A/600/9034 Learner name: VRQ Learner number: VTCT is the specialist awarding body for the Hairdressing, Beauty Therapy, Complementary Therapy and Sport and Active
More informationX-Plain Acne Reference Summary
X-Plain Acne Reference Summary Introduction Nearly 17 million people in the United States have acne, making it one of the most common skin diseases in the USA. Although acne is not a serious health threat,
More informationELECTROLYSIS- INFORMATION AND FAQ s
ELECTROLYSIS- INFORMATION AND FAQ s 1. How does Electrolysis work? A very fine sterilized filament is inserted into the hair follicle, which is a natural opening in the skin. The skin is not pierced or
More informationAdditional information >>> HERE <<< Best Way to Get Cheapest natural remedies hair loss after pregnancy ebook
Additional information >>> HERE
More information(Seoul National University Hospital)
Department of Dermatology (Seoul National University Hospital) 1. Introduction Seoul National University Hospital Department of Dermatology has been proved its excellence both in clinics as well as research.
More informationUnderstanding Hair Loss and the ARTAS Robotic Hair Transplant
Understanding Hair Loss and the ARTAS Robotic Hair Transplant The ARTAS Robotic System Table of Contents PART 1: Understanding Hair Loss 5 6 7 Why am I losing my hair? Why is my hair thinning? How far
More informationOvarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002
Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during
More informationAcute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
More informationCutaneous Lymphoma FAST FACTS
Cutaneous Lymphoma FAST FACTS What is Cutaneous Lymphoma? Cutaneous lymphomas are types of non-hodgkin s lymphomas (NHL) that originate in the lymphocytes (white blood cells). Unlike most other types of
More informationBOWEN S DISEASE (SQUAMOUS CELL CARCINOMA IN SITU)
BOWEN S DISEASE (SQUAMOUS CELL CARCINOMA IN SITU) What are the aims of this leaflet? This leaflet has been written to help you understand more about squamous cell carcinoma in situ (Bowen s disease). It
More informationJuvenile Dermatomyositis Joseph Junewick, MD FACR
Juvenile Dermatomyositis Joseph Junewick, MD FACR 10/11/2015 History Child with several month history of weakness, arthralgias and palpable abnormalities at the knee Diagnosis Juvenile Dermatomyositis
More informationHand Injuries and Disorders
Hand Injuries and Disorders Introduction Each of your hands has 27 bones, 15 joints and approximately 20 muscles. There are many common problems that can affect your hands. Hand problems can be caused
More informationClin Plastic Surg 32 (2005) 163 170. Hair Restoration. Alfonso Barrera, MD, FACS
Clin Plastic Surg 32 (2005) 163 170 Hair Restoration Alfonso Barrera, MD, FACS Baylor College of Medicine, 902 Frostwood, Suite #163, Houston, TX 77024, USA The use of micrografts (one or two hair follicular
More informationTREATMENT OF VARICOSE AND SPIDER VEINS Patient Info
TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more
More informationThe Integumentary System Dr. Ali Ebneshahidi
The Integumentary System Dr. Ali Ebneshahidi The Skin The integument system consists of the skin (cutaneous membrane) and its accessory organs. The skin is composed of three layers of tissue: the outer
More informationAsk the Expert QUESTION FROM A 15-YEAR-OLD FEMALE:
15 Ask the Expert I am often asked hair-related questions by medical students when I lecture at hospitals, from other dermatologists when I give presentations at American Academy of Dermatology meetings,
More informationNURS 821 Alterations in the Musculoskeletal System. Rheumatoid Arthritis. Type III Hypersensitivity Response
NURS 821 Alterations in the Musculoskeletal System Margaret H. Birney PhD, RN Lecture 12 Part 2 Joint Disorders (cont d) Rheumatoid Arthritis Definition: Autoimmune disorder occurring in genetically sensitive
More informationSaint Mary s Hospital. Ovarian Cysts. Information For Patients
Saint Mary s Hospital Ovarian Cysts Information For Patients 2 Contents Welcome 4 What are ovarian cysts? 4 How common are ovarian cysts? 6 Ovarian cysts and fertility 6 What are the symptoms of ovarian
More informationBone Basics National Osteoporosis Foundation 2013
When you have osteoporosis, your bones become weak and are more likely to break (fracture). You can have osteoporosis without any symptoms. Because it can be prevented and treated, an early diagnosis is
More informationPsoriasis Can be Cured with Homoeopathy
Homoeopathy Clinic http://www.homoeopathyclinic.com Psoriasis Can be Cured with Homoeopathy Case Report / General Information What you should Know about Psoriasis? It is not a contagious disease. Psoriasis
More informationA Free Guide to different Hair Removal Treatments
A Free Guide to different Hair Removal Treatments 2 Introduction From peach-fuzz to long, dark, or coarse growth, both men and women have been doing battle with excess hair -and hair removal - for centuries.
More informationIt works. Hair loss prevention and hair regeneration study
Hair loss prevention and hair regeneration study Report of the findings of the clinical trial to evaluate the effectiveness of VR6 hair treatment Study conducted by: Centro de Tecnología Capilar, SL Report
More informationtreatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care
treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.
More informationIdentifying and treating long-term kidney problems (chronic kidney disease)
Understanding NICE guidance Information for people who use NHS services Identifying and treating long-term kidney problems (chronic kidney disease) NICE clinical guidelines advise the NHS on caring for
More informationPathogenesis 10/04/2015. Acne
Deepani Rathnayake MBBS, MD, FACD Acne Affects >80% of adolescents >40% of adults Associated with Disfigurement Loss of confidence Depression Affects quality of life Pathogenesis i) increased sebum production,
More informationIntroduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.
Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast
More informationVulval Intraepithelial Neoplasia (VIN)
Vulval Intraepithelial Neoplasia (VIN) Exceptional healthcare, personally delivered What is it? Vulval intraepithelial neoplasia (VIN) is a condition where there are pre-cancerous cells in the skin of
More informationPulmonary interstitium. Interstitial Lung Disease. Interstitial lung disease. Interstitial lung disease. Causes.
Pulmonary interstitium Interstitial Lung Disease Alveolar lining cells (types 1 and 2) Thin elastin-rich connective component containing capillary blood vessels Interstitial lung disease Increase in interstitial
More informationObjectives. Fractures 2013-11-19. Identifying and interpreting fractures, burns and head injuries suspicious for abuse. Fractures Red Flags
Identifying and interpreting fractures, burns and head injuries suspicious for abuse Hosanna Au, MD, FRCPC Paul Kadar, MD, FRCPC Sarah B. Schwartz, MD, MEd, FRCPC Objectives At the end of this session,
More informationChapter 71. Caring for Clients with Skin, Hair and Nail Disorders. Tattoos & Body Piercing
Chapter 71 Caring for Clients with Skin, Hair and Nail Disorders Tattoos & Body Piercing A Tattoois pigmentation of the dermal layer of the skin with needles containing dye Body piercing is the insertion
More informationInnovative Low Fluence-High Repetition Rate Technology for Hair Removal
Innovative Low Fluence-High Repetition Rate Technology for Hair Removal Dr. Joseph Lepselter Alma Lasers Ltd. Caesarea, Israel Houten, Holland April 14, 2012 Terms LHR = laser hair removal SHR = super
More informationHair Analysis Notes. Hair s Anatomy
Hair Analysis Notes Human hair is one of the most frequently found pieces of physical evidence located at the scene of a violent crime and can provide a substantive link between the criminal and their
More informationTo Order, Visit the Purchasing Page for Details
Go Back to the Top To Order, Visit the Purchasing Page for Details Chapter Bacterial Infections Cutaneous bacterial infections are caused by resident or transient bacteria in the epidermis and mucosa.
More informationResume of Robert J. Barth, Ph.D.
Robert J. Barth, Ph.D. Fellow, National Academy of Neuropsychology Resume of Robert J. Barth, Ph.D. Overview Dr. Barth has been named a Fellow of the National Academy of Neuropsychology, for having made
More informationMedicare Coverage of Genomic Testing
Medicare Coverage of Genomic Testing Louis B. Jacques, MD Director, DID/CAG/OCSQ With acknowledgements to Jeff Roche, MD Social Security Act 1862(a)(1)(A) Notwithstanding any other provision of this title,
More informationProvided by the American Venous Forum: veinforum.org
CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The
More informationPap smears, cytology and CCHC lab work and follow up
Pap smears, cytology and CCHC lab work and follow up What is a Pap Smear? A Pap smear (also known as the Pap test) is a medical procedure in which a sample of cells from a woman's cervix (the end of the
More informationDifferential Diagnosis of Craniofacial Pain
1. Differential Diagnosis of Craniofacial Pain 2. Headache Page - 1 3. International Headache Society International Classification... 4. The Primary Headaches (1-4) Page - 2 5. The Secondary Headaches
More informationThe Hair Removal ebook!
The Hair Removal ebook! Brought to you by Terms of Use: This ebook was created to provide educational information regarding hair removal. Before making any decision, please consult a qualified health or
More informationHow To Choose A Biologic Drug
North Carolina Rheumatology Association Position Statements I. Biologic Agents A. Appropriate delivery, handling, storage and administration of biologic agents B. Indications for biologic agents II. III.
More informationAsbestos Related Diseases. Asbestosis Mesothelioma Lung Cancer Pleural Disease. connecting raising awareness supporting advocating
Asbestos Related Diseases Asbestosis Mesothelioma Lung Cancer Pleural Disease connecting raising awareness supporting advocating 1800 017 758 www.asbestosassociation.com.au Asbestos lagging was widely
More informationWhat Athletic Trainers Need to Know About Gynecology
What Athletic Trainers Need to Know About Gynecology Mona M. Shangold,, M.D. Director The Center for Women s Health and Sports Gynecology Philadelphia, PA Main Topics Normal development and function Effects
More information1g cream or ointment contains 1 mg methylprednisolone aceponate.
CONSUMER MEDICINE INFORMATION ADVANTAN 1g cream or ointment contains 1 mg methylprednisolone aceponate. What is in this leaflet Please read this leaflet carefully before you start using ADVANTAN. It will
More informationThomas T. Jeneby, M.D. 7272 Wurzbach Suite 801 San Antonio, TX. 78240 210-782-8269/210 270 8595
Laser hair removal is one of the most popular cosmetic procedures performed. Unwanted hair grows on various regions of the body. Often, individuals find the presence of hair in certain regions of the body
More informationProlia 2 shots a year proven to help strengthen bones.
Ask your doctor if Prolia (denosumab) is right for you and visit us at www.prolia.com For women with postmenopausal osteoporosis at high risk for fracture: there s Prolia. Prolia 2 shots a year proven
More informationHair Loss (Alopecia) Alopecia. Anatomy and Physiology of Hair. The Active Follicle
Dr. Sahni BS DHMS Hons, PGRT (BOM), FF Hom Deputy Chief Medical Officer (H), ONGC Hospital Panvel-410221, Navi Mumbai, INDIA Hair Loss (Alopecia) Website: http://www.homoeopathyclinic.com Email: drsahnibs@vsnl.com
More informationThere are some differences between hair and growth rates across different ethnic groups.
Basic Facts about Hair The cells that produce our hair have the fastest growth rate of all cells in the human body. Each hair goes through an independent cycle of growth, which lasts on average 5 years.
More informationPresenting Genital Symptoms and Physical Signs of Vaginal Atrophy
Sexual Health in the Menopause Presenting Genital Symptoms and Physical Signs of Vaginal Atrophy Symptoms Dryness Itching Burning Dyspareunia Signs on Physical Exam Pale, smooth, or shiny vaginal epithelium
More informationSARCOIDOSIS. Signs and symptoms associated with specific organ involvement can include the following:
SARCOIDOSIS Sarcoidosis is a disease that occurs when areas of inflammation develop in different organs of the body. Very small clusters of inflammation, called granulomas, are seen with sarcoidosis. They
More informationSkin biopsy. Delivering the best in care. UHB is a no smoking Trust
Skin biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm A skin biopsy is a
More informationGlossary. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty.
Glossary amenorrhea - absence or cessation of menstrual periods. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty. A amenorrhea, secondary - due to some physical
More information