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Tuesday, November 24, 2009
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Hair loss

Alopecia, under treatment
Alopecia, under treatment
Alopecia areata with pustules
Alopecia areata with pustules
Alopecia totalis - back view of the head
Alopecia totalis - back view of the head
Alopecia totalis - front view of the head
Alopecia totalis - front view of the head
Folliculitis, decalvans on the scalp
Folliculitis, decalvans on the scalp
Hair follicle
Hair follicle
Ringworm, tinea capitis - close-up
Ringworm, tinea capitis - close-up
Trichotillomania - top of the head
Trichotillomania - top of the head
Definition

Alternative Names

Loss of hair; Alopecia; Baldness; Telogen effluvium


Considerations

Hair loss usually develops gradually and may be patchy or all over (diffuse). You lose roughly 100 hairs from your head every day. The average scalp contains about 100,000 hairs.

Each individual hair survives for an average of 4 1/2 years, during which time it grows about 1/2 inch a month. Usually in its 5th year, the hair falls out and is replaced within 6 months by a new one. Genetic baldness is caused by the body's failure to produce new hairs and not by excessive hair loss.

Both men and women tend to lose hair thickness and amount as they age. Baldness is not usually caused by a disease. It is related to aging, heredity, and testosterone. Inherited or "pattern baldness" affects many more men than women. About 25% of men begin to bald by the time they are 30 years old, and about two-thirds are either bald or have a balding pattern by age 60.

  • Typical male pattern baldness involves a receding hairline and thinning around the crown with eventual bald spots. Ultimately, you may have only a horseshoe ring of hair around the sides. In addition to genes, male-pattern baldness seems to need the male hormone, testosterone. Men who do not produce testosterone (because of genetic abnormalities or castration) do not develop this pattern of baldness.
  • Some women also develop a particular pattern of hair loss due to genetics, age, and male hormones (which tend to increase in women after menopause). The pattern is different from that of men. Female pattern baldness involves a thinning throughout the scalp. The front hairline generally remains intact.

Common Causes

A sudden physical or emotional stress may cause one-half to three-quarters of the hair throughout your scalp to shed (called Telogen effluvium). You will notice hair coming out in handfuls while you shampoo, comb, or run your hands through your hair. You may not notice this for weeks to months after the episode of stress. The hair shedding will decrease over 6 - 8 months.

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Review Date: 05/07/2009
Reviewed By: Michael Lehrer, MD, Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, Pa. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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