HAIR

Hair disorders is a broad category that includes the following conditions:
Alopecia: the loss or thinning of hair. There are two types of alopecia: scarring, in which hair follicles are destroyed, and nonscarring, which can be reversed.
Male pattern baldness (androgenic alopecia): This is the most prominent type of hair disorder affecting, to varying degrees, half of all men over 50 years of age.
Hirsutism: excessive male pattern hair growth affecting 8% of adult women.
Hair shaft disorders: usually hereditary abnormalities.

Signs and Symptoms

Hair disorders are accompanied by the following signs and symptoms, depending on the type:
Alopecia (nonscarring) involves hair loss all over or in circular areas, a receding hair line, broken hairs, a smooth scalp, inflammation, and possibly loss of lashes, eyebrows, or pubic hair.
Alopecia (scarring) is limited to particular areas. Symptoms are inflammation at the edge and follicle loss toward the center of lesions, violet-colored skin abnormalities, and scaling.
Hirsutism is male pattern hair growth in women, irregular menstruation, lack of ovulation, acne, deepening voice, balding, and genital abnormalities.
Symptoms of hair shaft disorders are split ends and hair that is dry, brittle, and coarse, as well as skin and other abnormalities.

What Causes It?

Hair disorders can be caused by any of the following:
Alopecia (nonscarring) -- skin disorders, certain drugs, certain diseases, autoimmunity, iron deficiency, severe stress, scalp radiation, pregnancy, or pulling at your own hair.
Alopecia (scarring) -- skin disorders, diseases, or bacterial infections.
Hirsutism -- excess of androgen (a steroid hormone that stimulates development of male sex organs and secondary sexual characteristics). This overproduction of androgen could result from certain drugs or conditions.
Hair shaft disorders -- overprocessed hair (such as coloring, permanent waves, or excessive heating) or certain diseases.
Inflammation

Who's Most At Risk?

People with the following conditions or characteristics are at risk for developing hair disorders:
Alopecia -- male gender, genetic predisposition, pregnancy, physical or emotional stress, poor diet.
Hirsutism -- genetic predisposition, lack of ovulation, endocrine disorders, polycystic ovaries.
Hair shaft disorders -- genetic predisposition, damaging grooming practices.

What to Expect at Your Provider's Office

If you have symptoms associated with a hair disorder, you should see your health care provider. A physical exam can help identify the type of hair disorder, and laboratory tests can reveal any underlying diseases. In the case of hirsutism, imaging may help diagnose the cause.

Prevention

Eating a well-balanced diet and avoiding potentially damaging hair treatments can help prevent some types of hair loss.

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