Hair loss in
both men and women is defined as
Alopecia. Alopecia is the
termed used to describe the loss or thinning of hair. This condition is classified into
varying categories, including
scarring alopecia and
non-scarring alopecia. Unlike
scarring alopecia, whereby all hair
follicles are destroyed and rendered
useless, non-scarring alopecia may
be reversed. The remaining
categories of hair loss include;
Hair is cyclical. In
fact, most hair loss
is part of our normal growth cycles. Three phases occur in the production
and reproduction of body hair. These
phases are referenced as the anagen
growth phase, catagen involutional
phase, and the telogen resting
phase. [1] It is not unusual for one to lose an
average of 50 to 100 hairs per day
during the resting, or latent phase
of the hair cycle (telogen).
New hair will eventually replace
these lost hairs.
A legitimate
concern arises when there is
noticeable thinning or baldness. The
defining factors determining this
type of hair loss can range from
genetic pre-disposition to a
particular vitamin and/or mineral
deficiency. The thinning or balding
of hair is not an immediate threat
to ones physical health, but often
adversely effects an individual's
psychological well-being.
Other causes of
common hair loss may include;
prescription drug therapies, skin
disorders, autoimmunity, severe
stress, scalp radiation, pregnancy,
diseases, bacterial infections,
excessive androgen production, and
over processed hair. Genetic
predisposition remains the greatest
determinant in the balding of
hair - some 95% of both men and women.
Signs and symptoms of
alopecia are disorder-specific,
meaning that each condition exhibits
unique traits and patterns regarding
the accompanying hair loss. A
physician or dermatologist often
evaluates a patient and determines
the type and severity of a given
thinning/balding pattern. [2] The following information indicates
the specific signs and symptoms of
categorized hair disorders:
-
Non-scarring
alopecia-
characterized by circular areas of
hair loss, receding hair lines, a
smoothness of scalp region, and
inflammation. Extreme cases may
also include the loss of eyebrows,
lashes, and pubic hair.
-
Scarring alopecia-
area specific; noted by visual
abnormalities, such as
violet-colored skin patterns,
scaling, and lesions.
-
Hirsutism-
characterized by male-pattern hair
growth in women. Other symptoms
include; genital abnormalities,
deepening of voice, acne, and
irregular and/or lack of
menstruation.
-
Hair shaft
disorders-
usually involves hair that is
excessively dry, brittle and very
coarse. May also be recognized by
skin and other noted
irregularities.
Signs and symptoms
which require immediate medical
assistance include; hair which falls
out in clumps, patchy hair loss,
development of male characteristics
in females, and redness, flaking,
and scarring of the scalp where hair
loss has taken place.
Types of Hair Loss:
Male-Pattern Baldness
Male-pattern baldness
is also known as common baldness,
hereditary baldness, and
Androgenetic Alopecia. This type of baldness is distinctive
and has a marked progression in the
hair loss taking place on the scalp. The cause of this type of hair loss
is due to genetic susceptibility
(including hair follicle
sensitivity), hormones, and
androgens. It is agreed that there
are three causal factors in this
form of hair loss: age, inherited
tendency to early baldness, and the
most important factor, dihydrotestosterone (DHT). Persons
with this condition also have a
prolonged latent phase in the hair
cycle, which further enhances the
balding process. [3]
DHT
is a potent androgen in hair
follicles and is derived directly
from testosterone. It causes the
shrinking of hair follicles and
causes these follicles to become
dormant, or inactive. DHT also
triggers specific growth factors and
suppresses cell proliferation,
causing apoptotic cell death. The
inhibition of such growth factors,
like TGF-beta2, paralleled with DHT
suppression, has proved significant
in the treatment of hair loss.
[4]
Female-Pattern
Baldness
Female-pattern
baldness is also known as "diffused
balding." Like its counterpart of
the male variety, it too is caused
by age, genetic susceptibility, and
androgen. Females with this
conditions experience a slower
progression than males, with signs
of balding around the age of 30. This process may continue throughout
menopause, or until a permanent
degradation of hair follicles takes
place. However, unlike males,
female-pattern baldness rarely
equates to near or complete baldness
and rarely interferes with the
hairline. [4]
Alopecia Areata
Alopecia areata is
categorized as an autoimmune skin
disease. Hair follicles are
mistakenly attacked by an
individual's immune system, which
results in the arrest of hair
growth. Alopecia areata may
initially manifest itself as bald
patches on one's head and can
progress to complete loss of scalp
hair (Alopecia totalis), or
even the complete loss of all body
hair (Alopecia Universalis). [5] Nearly two percent of the entire
population suffers from this
disease, despite its relative
obscurity.
Alopecia Universalis
Persons suffering
from this condition are genetically
predisposed to complete hair loss,
and possible distortions of the
nails. Alopecia Universalis is
classified as both an acute and
permanent disorder. Individuals with
this condition are usually more
susceptible to diseases of the
thyroid gland and vitiligo than the
general population. This form of
alopecia differs from other forms
which permanently damage hair
follicles. The regrowth of body hair
remains possible for individuals
suffering from this condition
regardless of time spent with the
complete absence of body hair.
Other forms of hair
loss
Other forms and
causes of hair loss:
Of interest, nearly
67% of all men, and 25% of women
will suffer from significant hair
loss. 25% of men begin balding
before age 30, with 65% balding by
the age of 60. Women experience
thinning hair, primarily, within the
age range of 25 to 45 years of age;
with complete loss after the age of
40. Pre and post-menopausal women
have a significantly elevated risk
for the development of alopecia.
|
Learn More About
Hair Loss |
|