Different
forms of baldness
The term “baldness” is generally used
to refer to the condition of “alopecia androgenetica”,
the most common form of genetic baldness in men.
“Alopecia areata” is another form of
baldness and is characterised by the appearance
of round hairless patches, even in the beard. On
rare occasions the skin also shows visible signs
of the condition (in the form of atrophy or red
patches).
The hairs at the margins of these patches are typically
thin, weak, and almost transparent. The cause of
alopecia areata can typically be traced to a state
of anxiety, depression or stress, and in most cases
the condition can be reversed.
Another form of baldness in men is “frontoparietal
alopecia”. This is characterised by an ‘M’
shaped hairline with broad hairless zones at the
sides of the forehead and temples. Frontoparietal
alopecia is considered clinically distinct from
alopecia androgenetica because it not always develops
to the same extent.
Women can sometimes suffer from “postpartum
alopecia”, a form of hair loss that sets in
a few months after childbirth. Luckily, this condition
normally resolves itself. It is caused by the increase
in galactin and the rapid reduction in oestrogens
typical of the post-natal period.
“Traction alopecia” is another form
of thinning more common in women than in men. It
is caused by mechanical stress from frequent perms
and unusual hair styles. In most cases hairs are
simply broken off by constant combing or brushing
and the simple solution lies in suspending the usual
hair style.
In more serious cases, erythema and peeling can
occur, leading to permanent damage. Traction alopecia
is the reason why some women notice thinning around
the parting: constant combing in this area causes
aggressive and repeated pulling on the hair.
“Traumatic alopecia” is the appearance
of bald patches following a trauma that blocks blood
circulation locally for an extended period and “suffocates”
the hair bulbs. Hair transplants are the ideal cure
for this condition as they restore a population
of natural looking healthy follicles.
Other forms of baldness and thinning can be caused
by poor diet (often identified by fragile nails),
the administration of certain drugs (iatrogenic
alopecia), and radiotherapy, and can also appear
as side effects of other diseases.
Iatrogenic hair loss is easily cured by suspending
administration the drug that caused it.
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