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HEALTHY LIVING HAIR AND THERE Hair and there€¦ · women and children. Its characterised by...

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HEALTH INTELLIGENCE| 85 84 | 2013 EDITION 20 HAIR AND THERE responsible for this type of alopecia is called dihydrotestosterone (DHT, a potent form of testosterone that the body makes from testosterone). Other than androgenic alopecia, there are four classifications: Alopecia areata, which is thought to be an autoimmune condition and occurs in men, women and children. Its characterised by patches of hair loss and also includes complete loss of scalp hair (alopecia totalis) or total loss of all body hair (alopecia universalis) Telogen effluvium is the second most common hair loss condition and occurs when there is a decrease in the number of viable hair follicles, leading to hair loss. It’s believed that stress, a poor diet, shock or trauma, and some psychiatric medication can cause this form of hair loss Cicatricial alopecia (scarring alopecia) is a permanent loss of hair due to various different reasons that include lupus, Lichen planopilaris (LPP) which is a chronic inflammatory skin disease and bacterial infection Traumatic alopecia is caused by trauma to the hair – such as regular harsh brushing or tight braiding. Harsh chemical hair treatments can exacerbate the condition. The different categories of hair loss are all treated differently and it’s important to understand the cause of your hair loss before undergoing treatment. With chemotherapy, the hair loss is due to the treatment targeting all rapidly growing cells in the body (such as cancer cells and hair follicles during the growth phase). Too much of the androgen hormone, DHT, can cause an overall thinning of hair and this excess can be caused by pregnancy, ovarian cysts, taking high androgen-containing birth control pills, and menopause. Additionally, many psychiatric medications can cause hair loss. Two mood stabilisers, lithium and valproic acid, are known to have the possible side effect of hair loss, as do most antidepressants. Once medication is stopped, hair loss no longer occurs. But, as with any medication, don’t stop taking it without first consulting your doctor. IS IT HAPPENING TO YOU? Everyone experiences hair loss daily; however, to quickly test to see if your hair fall is higher than normal, take 50-60 strands of hair, held between your thumb and finger, and slide your hand gently down the shafts of hair – if more than 10% of hairs fall away, that’s an indication you may be experiencing abnormal hair loss. Take heart that new technology is regularly emerging to address the devastation of hair loss and there are actions you can take to reduce hair loss Y our hair is part and parcel of your innate femininity and forms an integral component of your daily beauty routine. Losing hair can be devastating. While more common in men, alopecia (hair loss) does occur in women, although usually at a later age than in men. At any age, however, hair thinning or loss is a psychologically difficult experience for women – in fact, women who experience hair loss also experience a poorer health-related quality of life than women without hair loss. WHY? Hair goes through four phases in its life cycle: anagen, growing; catagen, transitional; and telogen, resting. There’s also a phase called exogen, when the hair falls out. Alopecia can be divided into two classifications: one where the hair follicle is normal, but the phases of hair growth are abnormal, and then where the hair follicle is damaged. To determine what the cause of your hair loss is, it’s vital to see a health care professional. Female pattern hair loss (FPHL) or androgenetic alopecia is the most common cause of hair loss in women. The term androgen refers to the steroid hormones typically associated with men, the most well known being testosterone and DHEA. The androgen Hair and there You may take your head of hair for granted, but if you experience hair loss or thinning, what can you do about it? By Kirsten Alexander 84 | 2013 EDITION 20 HEALTHY LIVING
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Page 1: HEALTHY LIVING HAIR AND THERE Hair and there€¦ · women and children. Its characterised by patches of hair loss and also includes complete loss of scalp hair (alopecia totalis)

HEALTH INTELLIGENCE| 8584 | 2013 EDITION 20

HAIR AND THERE

responsible for this type of alopecia is called dihydrotestosterone (DHT, a potent form of

testosterone that the body makes from testosterone).

Other than androgenic alopecia, there are four classifications:

• Alopecia areata, which is thought to be an autoimmune condition and occurs in men,

women and children. Its characterised by patches of hair loss and also includes complete

loss of scalp hair (alopecia totalis) or total loss of all body hair (alopecia universalis)

• Telogen effluvium is the second most common hair loss condition and occurs when

there is a decrease in the number of viable hair follicles, leading to hair loss. It’s believed

that stress, a poor diet, shock or trauma, and some psychiatric medication can cause this

form of hair loss

• Cicatricial alopecia (scarring alopecia) is a permanent loss of hair due to various different

reasons that include lupus, Lichen planopilaris (LPP) which is a chronic inflammatory

skin disease and bacterial infection

• Traumatic alopecia is caused by trauma to the hair – such as regular harsh brushing or

tight braiding. Harsh chemical hair treatments can exacerbate the condition.

The different categories of hair loss are all treated differently and it’s important to

understand the cause of your hair loss before undergoing treatment. With chemotherapy,

the hair loss is due to the treatment targeting all rapidly growing cells in the body (such

as cancer cells and hair follicles during the growth phase). Too much of the androgen

hormone, DHT, can cause an overall thinning of hair and this excess can be caused by

pregnancy, ovarian cysts, taking high androgen-containing birth control pills, and

menopause. Additionally, many psychiatric medications can cause hair loss. Two mood

stabilisers, lithium and valproic acid, are known to have the possible side effect of hair loss,

as do most antidepressants. Once medication is stopped, hair loss no longer occurs. But,

as with any medication, don’t stop taking it without first consulting your doctor.

IS IT HAPPENING TO YOU?Everyone experiences hair loss daily; however, to quickly test to see if your hair fall is

higher than normal, take 50-60 strands of hair, held between your thumb and finger,

and slide your hand gently down the shafts of hair – if more than 10% of hairs fall

away, that’s an indication you may be experiencing abnormal hair loss.

Take heart that new technology is regularly emerging to address the devastation of hair loss and there are actions you can take to reduce hair loss

Y

our hair is part and parcel of your innate

femininity and forms an integral component of your daily

beauty routine. Losing hair can be devastating. While

more common in men, alopecia (hair

loss) does occur in women, although

usually at a later age than in men. At

any age, however, hair thinning or loss

is a psychologically difficult experience

for women – in fact, women who

experience hair loss also experience

a poorer health-related quality of life

than women without hair loss.

WHY?Hair goes through four phases in its life

cycle: anagen, growing; catagen, transitional; and telogen,

resting. There’s also a phase called exogen, when the hair

falls out.

Alopecia can be divided into two classifications: one

where the hair follicle is normal, but the phases of hair

growth are abnormal, and then where the hair follicle is

damaged. To determine what the cause of your hair loss is,

it’s vital to see a health care professional. Female pattern hair

loss (FPHL) or androgenetic alopecia is the most common

cause of hair loss in women. The term androgen refers to the

steroid hormones typically associated with men, the most

well known being testosterone and DHEA. The androgen

Hair and thereYou may take your head of hair for granted, but if you experience hair loss or thinning, what can you do about it?

By Kirsten Alexander

84 | 2013 EDITION 20

HEALTHY LIVING

Page 2: HEALTHY LIVING HAIR AND THERE Hair and there€¦ · women and children. Its characterised by patches of hair loss and also includes complete loss of scalp hair (alopecia totalis)

86 | 2013 EDITION 20

HAIR AND THERE

PREVENTION AND TREATMENTOver 40 years ago, it was established that low iron is

associated with hair loss. As with just about every health-

related problem, eating a well-balanced diet is key to

ensuring your body functions optimally. Good lifestyle

practices that don’t deplete important nutrients are also

important – so, not smoking, reducing stress levels and being

aware that medications can affect you negatively should all

be taken into consideration. There are supplements that

can have a positive effect on hair loss and these include:

L-lysine and cysteine, both amino acids, have been shown

to encourage hair growth; biotin and zinc have also been

found to effectively treat hair loss, even in children.

First introduced during the 1970s for treating hyper-

tension, multi-nutrient hair supplements are an effective

treatment, for stimulating hair growth.

Other common treatment options for androgenic

alopecia include androgen receptor antagonists (which work

by blocking the ability of testosterone and DHT to bind to

the receptor), and a 5 alpha-reductase inhibitor, generically

known as finsteride or the natural alternative, beta-sitosterol.

However, this shouldn’t be used by women of child bearing

age as it may cause abnormalities of the foetus. It also hasn’t

been proven very useful in postmenopausal women.

MORE OPTIONSHair transplants are a viable option. Most commonly, hair

loss only takes place on the top of the head, a large part of

the success of a hair transplant depends on the health of

your remaining hair follicles.

A hair transplant involves removing healthy hair (small

plugs of skin containing the hair follicle) from growth sites

on your head and implanting these onto the balding area.

This is not a once-off treatment and you may need to have

more than one treatment over a period of time. Another

method is to create a skin flap, basically reducing the area

of baldness by removing the hairless scalp and stretching

growth areas over the removed space.

Take heart that new technology is regularly emerging to

address the devastation of hair loss and there are actions

you can take to reduce hair loss – speak to your doctor or

dermatologist about your options. HI

References include1 Sinclair R, Patel M, et al. Hair loss in women: medical and cosmetic approaches to

increase scalp hair fullness. British Journal of Dermatology. Dec 2011;165(s3):12-8 2 The Merck Manual. Alopecia. Nov 20123 Medline Plus. Alopecia Areata. Nov 20124 American Hair Loss Association. Effluvium. Nov 20125 North American Hair research society. Cicatricial alopecia. Nov 20126 Medicine Net. Traumatic alopecia. Nov 20127 Botchkarev V. Molecular Mechanisms of Chemotherapy-Induced Hair Loss.

Journal of investigative Dermatology Symposium Proceedings. 2003;8:72-58 Cousen P, Messenger A. Female pattern hair loss in complete androgen

insensitivity syndrome. British Journal of Dermatology 2010162(5):1135-79 Mercke Y, Sheng H, et al. Hair Loss in Psychopharmacology. Annals of Clinical

Psychiatry. Mar 2000;12(1):35-42 10 Rushton D. Nutritional factors and hair loss. Clin Exp Dermatol. 2002

Jul;27(5):396-404.11 Rogers G, Powell B. Organization and Expression of Hair Follicle Genes. Journal

of Investigative Dermatology. 1993:101:50S–55S 12 Camacho F, Garcia-Hernandez M. Zinc Aspartate, Biotin, And Clobetasol

Propionate In The Treatment Of Alopecia Areata In Childhood. Pediatric Dermatology. Jul 1999;16(4):335-8

13 Thiedke C. Alopecia in Women. Am Fam Pysician. Mar 2003;67(5):1007-14

HEALTHY LIVING


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