A Study of Non-Scarring Diffuse Alopecia
Journal Title: Journal of Advanced Research in Medicine - Year 2018, Vol 5, Issue 2
Abstract
Paucity of reports on non-scarring diffuse alopecia in women from this part of the world led us to take up this study. We examined 200 consecutive cases of non-scarring diffuse alopecia in women who attended the skin OPD of a tertiary level urban hospital to find out the different types of diffuse hair loss, their clinicalprofile, key diagnostic features and etiological factors associated with them. Chronic telogen effluvium (CTE), female pattern hair loss (FPHL) and telogen effluvium (TE) were found to be the most common types of diffuse hair loss, seen in 71 (35.5%), 70 (35%) and 46 (23%) patients, out of a total of 200. These three (CTE, FPHL and TE) together accounted for 93.5% (187/200) of total cases of non-scarring diffuse alopecia in women. Excessive, alarming, diffuse shedding coming from a normal-looking head with plenty of hair and without an obvious cause was the hallmark of CTE. FPHL was presented as gradual diffuse hair loss with thinning of central scalp and intact hair line (Ludwig type), widening of central parting line with or without a Christmas tree pattern (Olsen type), or as fronto-temporal/bi-temporal recession with or without loss at vertex (Hamilton type/Male type). An abrupt onset and rapid, diffuse, excessive shedding of normal club hair, usually seen 2–3 months after a triggering event was the typical presentation of TE cases. High fever, postpartum hemorrhage and emotional stress were the common triggers associated with TE. Abnormal thyroid functions (23/200, 11.50%) and anemia (78/200, 39%) were noted in a significant number of cases of diffuse hair loss, making it mandatory to investigate them in all cases of diffuse hair loss.
Authors and Affiliations
Dr. Vivek Sagar
Keywords
Related Articles
- EP ID EP287168
- DOI 10.24321/2349.7181.201808
- Views 123
- Downloads 0
Diagnostic and Prognostic Value of Serum Procalcitonin in Pneumonia - A Prospective Observational Study
Objectives: Community-acquired and nosocomial respiratory tract infections are public health problems of major concern and a leading cause of mortality. In the current prospective observational study, we intend to study...
Acute Phase Treatment for Infants Younger Than 1 Year of Age with Kawasaki Disease: A Single Center Retrospective Study
Background: Infants younger than 1 year of age with Kawasaki disease (KD) have a high risk for coronary artery lesions (CAL). However, the appropriate acute phase treatment for the infants has not been established. Objec...
Maternal and Fetal Outcome in Deranged Liver Function Test and Jaundice Complicating Pregnancy: A Prospective Study
Background: The objective of the study was to study maternal and fetal outcome in pregnancy complicated with deranged liver function test and jaundice. Methods: Total 150 antenatal patients with clinical or laboratory...
A case of Steroid Responsive Encephalopathy associated with Autoimmune Thyroiditis: A Diagnostic Dilemma
We present a case of 42 year-old female, who presented with generalized tonic-clonic seizures with altered sensorium, not responding to antiepileptic medications. She was a diagnosed case of hypothyroidism since last thr...
Overlap Syndrome of Autoimmune Hepatitis and Primary Biliary Cirrhosis: A Clinical Enigma
“Overlap syndrome” is a term used to describe variant forms of autoimmune hepatitis (AIH) which present with characteristics of AIH and primary biliary cirrhosis (PBC) or primary sclerosing cholangitis (PSC). Patients wi...