Spotting the signs
13 HAIR LOSS CONDITIONS
article by Diane Shawe Author of Getting Started in the hair extensions business
There is no single explanation for hair loss but reasons can include:
- Natural ageing process
- Poor nutrition
- Nervous disorders
- Hormonal imbalances
- Serious illness
- Certain medications
- Chemotherapy and radiotherapy
- Hereditary/genetic factors
Hair loss can have a devastating effect. It’s important to know that the earlier a hair loss problem is diagnosed, the better the chances are of treating it. We always recommend seeing a qualified hair specialist to diagnose conditions.
Common hair loss conditions include:
Androgenic Alopecia (‘Pattern Baldness’)
This is one of the most common forms of hair loss. It affects both men and women and occurs in distinct patterns. In men, this form of hair loss is very obvious. At the end of the process – which can take from 15-25yrs – the only hair remaining is at the sides and the back of the head. Roughly one third of all women are affected by this type of hair loss normally on the vertex (top of the head) with the front hairline often intact. The process of shedding is on average 50-100 hairs a day.
Alopecia Areata
This condition manifests itself in patchy hair loss, usually starting with a small spot that can spread. It is an auto-immune disease where the body attacks itself, killing off the hair. In general, the onset of alopecia can be caused by illness and raised temperature, shock, viruses, inoculations, medication or a period of extreme stress 2-6 months before a bald patch appears. It’s important to remember that early diagnosis and treatment can minimise the effects of the condition. Following diagnosis, many patients are extremely anxious which can also exacerbate the problem. It is advisable to seek specialist advice on how relieve stress and help hair growth to resume.
Alopecia Totalis
Alopecia Totalis is condition in which total loss of scalp hair occurs and can follow on from unchecked alopecia areata.
Alopecia Universalis
The result is a loss of all body hair including eyebrows and eyelashes. This form of hair loss is very distressing.
Telogen Effluvium or ‘Diffuse Hair Loss’
This condition manifests itself in shedding from all parts of the scalp. A great deal of hair is shed before the effects become noticeable. Telogen Effluvium can be caused by high fever, thyroid, postnatal depression, anaemia, surgery, medication, emotional stress, shock, dental treatment, surgery or dieting. During pregnancy, high levels of female hormones generate healthy hair. Some women can experience diffuse hair loss after childbirth.
Chemotherapy and radiotherapy hair loss
Chemotherapy or radiotherapy drugs work by attacking rapidly-growing cancer cells in the body. Because hair follicle cells also multiply very quickly – like cancer cells – chemotherapy drugs have difficulty in discerning the difference. This means that cancer treatment also destroys fast-growing hair cells and the hair falls out. Damage is not irreparable however and hair usually grows back 6-8 weeks after chemotherapy treatment has ended.
Trichotillomania
A rare form of Alopecia that is extremely stressful and caused by a patient self-harming i.e. pulling his or her own hair out. Given the psychology surrounding this condition, sufferers may not initially admit to pulling their hair out. Although young children can be particularly prone to Trichotillomania, it normally affects adolescent age groups.
Scarring Conditions
Several scarring conditions may includeLichen Planus, Lupus Erythematosus, Folliculitis Decalvans and Pseudo Pelade. These conditions can be slowly progressive and scarring of the scalp causes permanent hair loss.
Traction Alopecia
A condition often caused by hair extensions or hair styles that cause physical trauma to the scalp e.g. cornrows, tight braiding which causes patchy to total hair loss prodominately around the hairline becomes weak and stops growing.
In addition to hair loss problems, scalp disorders can include:
Dandruff (Pityriasis capitis) – This condition is all too familiar and about half of all Caucasians will have had dandruff to some degree before they are 20. In most people, it disappears after the age of 50 or so. Dandruff is associated with a tiny yeast called pityrosporum ovale, which is normally permanently present on the scalp. In dandruff, there is an increase in the regular loss of cells from the skin surface and they are lost more quickly. As more cells are lost, the yeast grows more rapidly. These cells may clump together to produce the all-too-familiar flakes of dandruff.
Eczema and Dermatitis
Psoriasis – Chronic skin condition affecting 3% of the population. It appears as raised, inflamed skin topped with silvery white scales. In severe cases the whole of the scalp may be covered by scales and there may well be some hair loss. Severe cases are extremely uncomfortable and distressing.
Seborrhoeic Dermatitis – Scaling condition characterised by yellow, branny scales on the scalp and red, irritated skin. It is sometimes associated by an unusually greasy scalp. In babies, the condition is known as ‘Cradle Cap’. It can also affect the nose, eyebrows and ears. In severe cases, Seborrhoeic Dermatitis may lead to hair loss.
Infections
Head Lice (Pediculosis Capitis) – Infestation of parasites living off human hosts. The hosts are 6-legged creatures, 2 – 4 mm in size and grey in colour. They are found near the hairline, at the nape of the neck and around the ears. This condition is highly infectious (ova hatch within 5-8 days). Lice can live off the human scalp for up to 48 hours in scarves, hats, chair backs, combs, brushes etc.
Impetigo – Bacterial infection of the skin that results in weeping, crusted sores and produces itching. It is often seen in young children and is highly contagious.
Ringworm – Fungal infection which appears as pink, scaly patches on the skin. It is more likely to be caught from animals than from humans.
Reassuringly, many scalp conditions can be prevented or cured and there are a number of treatments available. It is always advisable to act quickly. For further in-depth information call us on 0121 318 2880
According to Basil M Hantash, MD, PhD (1) The sad truth of the matter is that permanent traction alopecia does not respond to medical treatment such as minoxidil or 
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