Diagnostic Keys in Hair Dysplasias II

    A. Giacaman, Juan Ferrando
    TLDR Hair shaft disorders are diagnosed through examination and history, with general care and some treatments offering improvement.
    This review covers hair shaft disorders with minimal or no hair fragility, caused by genetic mutations or environmental factors. Diagnosis involves medical history, hair examination, and trichoscopy. There are no specific treatments, but general care practices are recommended. Some disorders improve with puberty, and topical minoxidil may help. The review details conditions like short anagen syndrome, trichonodosis, pili annulati, woolly hair, and uncombable hair syndrome (UHS), describing their features, diagnostic methods, and genetic links. UHS diagnosis traditionally uses electron microscopy, but alternative methods like hematoxylin and eosin staining are explored. Treatments like biotin supplements and zinc pyrithione shampoos show some success. General care includes avoiding excessive brushing, chemicals, and heat. No specific funding or conflicts of interest were reported.
    Discuss this study in the Community →

    Research cited in this study

    15 / 15 results

    Related Community Posts Join

    6 / 1000+ results

      community How does hair loss and recovery work?

      in Chat  12 upvotes 1 year ago
      Hair loss varies due to genetic sensitivity to DHT and other factors. Treatments discussed include finasteride, minoxidil, RU58841, and microneedling.

      community Wtf have we been doing for the last 30 years

      in Treatment  548 upvotes 10 months ago
      Hair loss treatments like finasteride, minoxidil, and dutasteride work but have side effects. A permanent cure is still not available due to the complexity of hair loss and limited investment.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community DHT Harms Scalp Microbiome: DHT Itch is REAL

      in Research/Science  413 upvotes 7 months ago
      Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

    Related Research

    3 / 3 results