Hair loss, as the name
itself implies, refers to the loss of hair from scalp / head; another term used
to describe this is alopecia. It is a broad term that also includes thinning of
hair. While genetics plays a vital role in this condition that afflicts both
men and women, there are several other factors that are involved in bringing on
this problem in people. In order to understand the reasons for hair fall
better, it is essential that you learn about the various growth stages of hair.
The hair
growth cycle consists of three phases:
1.
The first phase
is the anagen phase, which is an active phase in which the hair grows. This
phase lasts for around 2-7 yrs.
2.
The second
phase is the catagen phase. The catagen phase immediately follows the anagen
phase and lasts for around 10- 14 days during which the hair stops getting
blood supply and becomes dead.
3.
The third and
the last phase is telogen phase, which is a resting phase. In this phase, the
dead hair falls out and the hair follicles remain in rest or inactive stage for
about 2-3 months.
After
completion of last stage, the entire cycle is repeated. Each single hair
undergoes these three phases of growth independent of the other hair on the
scalp. Normally, at a given point of time about 90% of hair is in the anagen
phase and only 10% is in the telogen phase. When this ratio is altered, it
leads to increased rate of hair loss. Hair loss can occur at any age, and can
be prevalent in both males and females. Hair loss in itself is not a disease,
but a sign that often indicates various other diseases. Hair loss occurs as a result
of various diseases or factors and in different patterns.
The various
causes / factors leading to hair loss include:
Skin diseases affecting the scalp like fungal infection of scalp known as tinea capitis, seborrhoea (dandruff), eczema of scalp, or lichen planus.
Skin diseases affecting the scalp like fungal infection of scalp known as tinea capitis, seborrhoea (dandruff), eczema of scalp, or lichen planus.
1.
Genetic factors
2.
Hormonal
changes including those that occur after childbirth and during menopause
3.
Nutritional
deficiencies due to a diet that lacks iron (leading to anemia),
and also lack of protein intake
4.
Recovery from
acute fever like typhoid and erysipelas leads to
diffuse hair loss
5.
Drug use like
the ones that are used in treating high blood pressure, joint pains, cancer,
or depression. Anagen effluvium refers to the condition of hair loss due
to chemotherapy in a cancer patient
6.
Physical trauma
/ injury to head
7.
Emotional
trauma like constant stress or grief due to loss of a family member /
close friend
8.
General
diseases like diabetes mellitus, tuberculosis, Hypothyroidism,
or AIDS
9.
Auto-immune
related hair loss in which the hair cells are mistaken for a foreign body and
are destroyed by the immune cells of the body
10.
Hairstyles like
tight braids or ponytails where the hair is tightly pulled backwards leading to traction alopecia;
indiscriminate use of hair colors and hair straighteners
11.
Trichotillomania,
which is a mental disorder in which the affected person voluntarily pulls out
his / her scalp hair
The cause and site of hair loss are to
be noted down along with the constitutional symptoms of the patient which are
given prime importance in any kind of case of hair loss. The constitutional
symptoms include the eating habits, level of thirst, thermals, mental symptom
etc. and these are to be given top position in forming the totality of symptoms
while case taking.
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