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Hair Loss |
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Introduction
Alopecia, or
hair loss, is a very common side effect of most forms
of chemotherapy. Hair loss occurs as a result of the
chemotherapy agents penetrating the hair follicle,
causing the hair shaft to break at the root.
Hair
loss may be temporary or permanent, and can have many
causes. By far the most common type of hair loss is
pattern baldness, also known as androgenetic alopecia.
Men with pattern baldness initially lose hair in the
front, crown, and sides of the hairline, and may
become completely bald. Women are more likely to
experience thinning at the crown and front of the
head. This type of hair loss is hereditary, and is
usually permanent. However, several treatments are
available that may help regrow hair.
Causes
There are many possible causes of hair loss.
- Nearly all incidents of male and female pattern
baldness
are due to family history.
- Major body stress. High fever, severe flu,
surgery, and other stressful situations can cause
hair loss, although it may not show up for weeks or
months afterward.
- Some women experience hair loss several months
after giving birth. The hair usually grows back.
- Recent high fever, severe flu or surgery. You
may notice you have less hair three to four months
after events such as an illness or surgery. These
conditions cause hair to shift rapidly into a
resting phase, meaning you'll
see less new hair growth. A normal amount of hair
typically will appear after the growth phase
resumes.
- A number of drugs can cause sudden hair loss.
Certain medications used to treat arthritis,
depression, heart problems, high blood pressure, and
gout may have this effect.
- Hair loss may result from cancer
treatments such as chemotherapy due to the toxicity
of the drugs used. Your hair will begin to regrow
after you complete your treatment.
- Systemic diseases often affect hair growth
either selectively or by altering the skin of the
scalp. One example is thyroid disorders.
Hyperthyroidism causes
hair to become thin and fine. Hypothyroidism thickens both hair and skin.
Treatment
If hair loss is caused by a temporary situation
such as medication, stress or insufficient iron, the
hair loss will stop when its cause ends. Hair loss due
to infection may require oral antibiotics.
Alopecia areata can be treated with injections of
steroids such as triamcinolone into the area. For all
of the causes, early treatment works the best.
For hair loss caused by androgenic alopecia, there is
no cure, although many treatments are available. You
can purchase the FDA approved hair loss treatment minoxidil without a doctor's
prescription, it's rubbed directly onto the scalp and
works for both men and women. Finasteride (Propecia)
is a prescription hair loss treatment that is
prescribed for men only. It usually works best
for hair loss at top and back of the scalp, where
there is still some remaining hair. This is available
over the counter at most pharmacies.
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