Trichological problems related to menopause
Journal Title: Postępy Nauk Medycznych - Year 2015, Vol 28, Issue 3
Abstract
The menopause is associated with a cessation of ovarian synthesis of estrogens, what undoubtedly affects human skin functions and may cause some changes in hair distribution. An increase in androgen to estrogen ratio leads to a reduction in hair density over the crown and frontal scalp with a relative sparing of the anterior hair line, what is described as female pattern hair loss (FPHL). Some other diagnoses, including chronic telogen effluvium (CTE) should be also excluded, what may require a scalp biopsy, but the trichoscopy is essentially useful diagnostic technique. The frontal fibrosing alopecia (FFA) is a distinct condition that mainly affects postmenopausal women and typically starts 2-12 years after the beginning of menopause. An essential problem of aging is an increasing number of systemic diseases that occur soon after the menopause begins. The majority of them requires a long-term drug interventions and some agents has been reported to affect hair growth. The impact of medications on hair physiology is distinguished and some drugs can lead to increased hair loss. Changes in hair distribution in menopause may also consider an unwanted facial hair growth. Some cases of excessive hair growth should be differentiated from acquired hypetrichosis languinosa (AHL), that may coexist with internal malignancy. The pathogenesis of the most of trichological disturbances stay not clear, but some of these hair changes can comprise a significant marker of systemic disorders and the knowledge of them may have an essential, vital significance.
Authors and Affiliations
Bartosz Miziołek, Ligia Brzezińska-Wcisło, Dominika Wcisło-Dziadecka, Martyna Zbiciak-Nylec, Anna Michalska-Bańkowska
Keywords
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