7487 Week 4, Day 2 Alopecia PPT and Charts (NEWSOME)

complications from alopecia
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Terms in this set (11)
complications from alopecia
- increased risk of sunburn and injury
- depression
- low self-esteem
- feelings of unattractiveness
diagnosis of alopecia
- meticulous patient history plus skin/hair examination

Physical Examination:
- hypotrichosis vs. alopecia
- type of alopecia
- hair and scalp findings
- hair tug and pull test
- wood lamp examination
treatment of chemotherapy-induced alopecia
- cold caps and scalp cooling systems
- wigs, scarves/hats, other head coverings
- counseling and psychological support
treatment of male pattern baldness
Topical Minoxidil:
- 2% or 5%
- most common tx
- hypertrichosis is more common with 5%

5-alpha Reductase Inhibitors:
- type 1 vs. type 2
- sexual dysfunction is most concerning
- monitor LFTs
- pregnancy category X
miscellaneous treatment therapies for alopecia
- mesotherapy
- low-level laser light
- PLT-rich plasma therapy
- ketoconazole (inhibits the DHT pathway)
- prostaglandin F2
- topical valproic acid
- surgery
- natural health products (e.g., biotin, melanin, saw palmetto, black cohosh, etc.)
treatment of Alopecia Areata
Intralesional Corticosteroids:
- triamcinolone acetonide 5-10 mg q2 weeks or every 4-6 weeks
- 0.1 mL into multiple sites at 1 cm apart into the deep dermis (max volume of 20 mL)

Hydrocortisone:
- 25 mg/mL
- ADRs: pain at injection sites, localized skin atrophy, and hypopigmentation

**relapses are common with treatment discontinuation

Topical Corticosteroids:
- clobetasol propionate used under occlusion

Systemic Corticosteroids:
- pulse dosing used to minimize ADRs
- prednisone 0.5 mg/kg/day x 3 months
- prednisolone 200 mg once weekly x 3 months
- dexamethasone 0.1 mg/kg/day on 2 consecutive days once weekly. for at least 4 months
hair care for people with alopecia
- all hair dyes can damage hair except temporary dyes
- chemical processing can further damage hair
- avoid frequent combing and brushing
- hair conditioners should be routinely used
presentation of autoimmune-induced alopecia
- diffuse and rapid hair shedding with exclamation point hairs
- usually starts with a round patch
- spreads in a multiocular pattern
Does recovery occur for chemotherapy-induced alopecia?
Yes, recovery usually occurs within 6 months of treatment completion/drug discontinuation.
presentation of inherited/congenital alopecia
- pre-dominantly seen in young girls between 2 and 6 years (can happen in boys)
- diffuse or patchy alopecia often seen in the occiput
common causes of alopecia- pregnancy - psychological stress - fever, infection, hemorrhage, surgery - weight loss - autoimmune diseases (most often SLE and thyroid hormone deficiency) - localized telogen effluvium following hair transplantation - vitamin/mineral deficiency (most commonly iron in women) - contraceptives, anticoagulants, anticonvulsants, isotretinoin, warfarin