I hope in the near future we have tools that can provide pathology without cutting into the skin to determine the exact conditions. I'm of the opinion that if a scarring alopecia is quiet, to cut more seems to be going in the wrong direction since it will make a bad problem worse with no solution and could even reawaken a condition that is quiescent. If the ostium are lost then nothing yet will bring them back outside of transplantation. Luckily, non-invasive technology exists to determine if an alopecia type is scarring or non-scarring. The problem is the non-scarring types, getting most of them to regenerate thick terminal hair is difficult, perhaps impossible still in most cases. However, a new topical called Pyrilutimide seems to be working for some people to regrow hair where all other modalities haven't. If ostium are all present, then to remove some in biopsy creates a scar, so to take biopsies in this instance to me also seems bad. The upside is to confirm or help aid the questionable diagnosis. I think to biopsy makes the most sense in an active disease area next to where ostium is destroyed in order to save surrounding hairs from further obliteration due to active disease. But then these patients want their hair back and there is no good solution to deal with this. Organs have been grown in labs already, why the hair is difficult to work in my estimation is that many have to be produced and it is a complex organ containing many parts. Frustratingly for many people they need to have great hair to feel whole as individuals. Fixing this issue should be treated as an emergency like Covid as millions suffer with no remedy. Life isn't worth living unless the quality of life for a person exists.
Hi Prof. As you’ve already know I have FFA. I’m only 28 y.o. Very rare case because its progressing very very fast. I’m on Dutasteride,Isotretinoin,Plaquenil,low dose prednisone and now Cyclosporine. Do you accept patients from abroad treating FFA?🙏🏻🙏🏻🙏🏻🙏🏻
i would like to aks u a question if someone has had traction alopecia in the areas known for male pattern baldness if there is no broken hairs , lets say the traction alopecia if from over maipulating but there is no snatching or breaking of the hairs, how does a dermatologist know if the patient has mpb or if he has miniaturization due to traction alopecia or male pattern baldness? So we know both can happen at the same area but hince its not traction alopexia its like manipulating the hairs and pulling them twirling them with out pulling them out or without tightly doing harsh hairstyles, so if there is no broken hairs and happens at the manipulation happens at the same place of where mpb is typically diagnosed , how do u distinguish and diagnose it properly if the miniaturization is due to the hair twirling or if its due to mpb.
I don't understand. If in Telogen Effluvium every hair follicle has the same thickness, why do People with TE the hair appears thinner (see the scalp between the hair)?
Depending on the cause of telogen effluvium it may be also associated with hair thinning. For example chronic anemia causes both, telogen effluvium and hair thinning.
@@profLidiaRudnicka Thx for the response. I have androgenetic alopecia since 2017 (at 21 years of age) in the middle of the head (typical male pattern). But somehow 3 years after, all the rest of my head started to thin as well and that in a extreme fast rate (within 4 months) and i asked myself, how this is even possible? I only had a big vitamin d deficiency the last years (Because i was ashamed, i walked around with all my body covered. Even in summer) and annoying seborrheic dermatitis. I bought a microscope and i can clearly see, that some hair behind and the sides of my head (not typically affected by DHT) are absolutely thinning. Which is even more sad for me because apparently i'm the only one in my entire family tree that has this condition and that my hair was always the biggest pride i had.
Dziękuje bardzo, znalazłem jedno ale kohortowe. Czyli na tą chwile jedyne opcje leczenia mające oparcie w EBM to finasteryd i minoxidil? I jeszcze pytanie bo badacze we wnioskach o tym badaniu twierdzą ze to metoda obiecująca, po prostu trzeba poczekać czy można zaryzykować? Bo skoro brak jest innych badań to też jest mała wiedza na temat skutkow ubocznych takiego zabiegu, czy spodziewa się Pani że mogły by być one poważne? Dziękuje bardzo, pozdrawiam i podziwiam Pani wiedzę…
