A Review of the Etiologies, Clinical Characteristics, and Treatment of Canities

    Daranporn Triwongwaranat, Rattapon Thuangtong, Sittiroj Arunkajohnsak
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    TLDR Gray hair is caused by reduced melanin production or transfer issues, linked to aging and possibly health conditions, with treatments focusing on color camouflage.
    The document reviewed the causes, clinical features, and treatments of canities, commonly known as gray hair. It explained that hair pigmentation is controlled by melanogenesis within hair follicles, involving the production of two types of melanin: eumelanin and pheomelanin. The etiology of canities, which is the loss of hair pigmentation leading to gray hair, is not fully understood but is thought to result from either a decline in melanin production due to melanocyte degeneration or a defect in the transfer of melanosomes. Canities is typically a sign of aging but when it occurs prematurely, it may be associated with health conditions like osteopenia and cardiovascular disease. Risk factors for canities include genetics, as well as lifestyle factors such as smoking, alcohol consumption, and stress. While camouflage techniques are the primary treatment for canities, research is ongoing to find treatments that can truly reverse the loss of hair pigmentation.
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