SIGNS & SYMPTOMS
- Sudden loss of hair in defined patches.
- Excessive hair fall even on touch.
- Bald patches spread rapidly.
- May start losing body hair.
- May show up on any part of the body and not necessarily involve scalp hair only.
- Seen after any acute health history or any stress.
- Acute viral infection
- Any exposure to unusaul stressful factors like exterme weather conditions etc.
- Family history of Autoimmune disorders like SLE, RA etc.
- Emotional stress
- A) Non-scarring Alopecia
- B) Scarring Alopecia
A) NON-SCARRING ALOPECIA
In non – scarring alopecia, there is hair loss but the follicles are spared and hence regrowth of hair is always a possibility.
When the hair loss is in a coin shaped pattern, it is called as Alopecia Areata. The bald patches are very distinctive because they are almost sharply defined circular patches. One or several patches of baldness can occur during the time that alopecia areata continues. The patches may enlarge and overlap or they may remain very small. If left untreated in extreme cases, all the hair from the scalp and face can be lost (Alopecia Totalis) or all the hair from the head and the body can be lost (Alopecia Universalis)
B) SCARRING ALOPECIA
Scarring alopecia or cicatricial baldness (cicatric means scar), is a type of baldness where the underlying tissues below and around the hair follicles get scarred and the hair tissues die-off and cannot be rejuvenated and regenerated because the hair follicles are destroyed. Hence, in scarring Alopecia regrowth is not possible.
The diagnosis of Alopecia depends majorly on clinical examination; Alopecia treatment is started immediately after clinical examination. If needed, the doctor will decide whether Trichoanalysis to be done or not. (Not possible in AT & AU) Since the disorder is fast spreading it needs to be intervened on SOS basis without losing much time.
We do not believe in using steroids locally or internally but our focus is to bring about a correction in the immune system. Changes in diet along with external and internal regimen can be suggested along with some home care programme.
ALOPECIA TREATMENT PROTOCOL-
- Detailed examination guides about the acute nature of the problem and it’s pace of progression.
- Capilloscopy is done to check follicular status and underlying scalp health.
- Simple amino acids along with hair nutritive supplements can be prescribed.
- Topical applications with Trichoactive product are suggested.
- Doctor generally refrains from giving a lot of clinical therapies as the scalp is very sensitive.
- May suggest some home care as the disorder needs a rigorous approach to arrest the spread.
- Frequent follow-ups are needed to monitor the response since the disorder is unpredictable.
- Dietary changes to improve immunity are recommended.
- Avoiding animal proteins may also be suggested.