How is Trichoscopy done?
Trichoscopic examination of epilated hair can be done by placing the hair against a light background and visualizing the roots at higher magnification (dermoscopictrichogram). Active disease is characterized by dystrophic hairs with fractured roots and telogen hairs.
What is a dystrophic hair?
A diagnosis of telogen effluvium is established when over 20% of the hairs examined are in telogen phase. Dystrophic hairs have a decreased proximal diameter, an irregular contour, no epithelial sheaths, and an angle of over 20°. They are common in AGA or in hair that has not been removed correctly from the scalp.
What causes lichen Planopilaris of the scalp?
Cause. The cause of lichen planopilaris is unknown. It is thought to be an autoimmune disorder in which white blood cells attack and destroy skin and hair cells .
Is folliculitis a Decalvan?
Folliculitis decalvans (FD) is a rare, chronic cicatricial (scarring) alopecia that occurs in adults and classically presents as an expanding patch of alopecia with peripheral pustules on the scalp (picture 1A-B). Patients may experience associated pruritus or pain.
How often should you wash your hair if you have folliculitis?
Folliculitis Treatments Clean the infected area: Wash twice a day with warm water and antibacterial soap. Be sure to use a fresh cloth and towel each time. Use salt: Put warm saltwater — 1 teaspoon table salt mixed with 2 cups of water — on a washcloth and place it on your skin. You can also try white vinegar.
What does a club hair look like?
When you see full-length hairs on your pillow or in your shower drain, they are probably club hairs. The hairs in your brush may be club hairs, or they may be broken hairs. You can tell it is a club hair by the bulb shape at the root, usually light in color. Club hairs should react to hair products, dye, etc.
What is the hair pull test?
A “pull test” is a test for excessive shedding. To perform the pull test, the clinician gently wraps his or her thumb and index finger around approximately 60 hairs and pulls gently upwards. If more than 3 hairs are removed, one should consider it a positive pull test.
What does Black bulb on hair mean?
Black bulbs mean the hair was in Anagen phase when it fell out, rather than telogen phase. That means the black bulbs are hairs that were still growing, which you shouldn’t be losing.
Can hair grow back after lichen planopilaris?
Antimalarial Drug Plus Adalimumab Aids Hair Regrowth in Lichen Planopilaris. The combination of the biologic adalimumab and hydroxychloroquine may be responsible for the improvement in lichen planopilaris, including the hair regrowth, according to the study.