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QUESTION OF THE WEEK

Dr. Donovan's Articles

QUESTION OF HAIR BLOGS




TE and CTE

I posted an answer to a new question on Realself.com

TE and CTE


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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TE or AGA

I posted an answer to a new question on Realself.com

TE or AGA


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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Hair Casts

Example 2

Hair casts or 'pseudonits' are thin, elongated, cylindrical concretions that encircle the hair shaft. Hair casts range in size from 2-7 mm and can be easily dislodged. Hair casts can be easily differentiated from "knits" because they slide along hairs when grabbed with the fingers. They are usually asymptomatic and particularly common in young women. 
Casts have not been extensively studied, however, one study of over 3500 women showed that casts were seen in 60 % of women. Traction hairstyles, use of hair sprays and a variety of inflammation scalp conditions are associated with hair casts. They are not infectious or contagious.

Reference
Zhang W. Epidemiological and aetiological studies on hair casts. Clin Exp Dermatol. 1995;20:202-7.


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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Hair Casts

Hair casts are cylindrical (tubular) material that sometimes surround hair follicles. Hair casts are said to be "primary" in nature when not associated with an underlying scalp disorder and "secondary" when associated with an underlying disorder. Many inflammatory conditions can be associated with hair casts including seborrheic dermatitis, psoriasis, pityriasis amiantacea, traction ... and others. The patient in this photo has hair casts from seborrheic dermatitis.


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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Minoxidil and BP

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Minoxidil and BP


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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Finasteride and Shedding

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Finasteride and Shedding


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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Brown Peripilar Sign

In Androgenetic Alopecia

There are many changes that occur in men and women with androgenetic alopecia, both in male and female thinning. Under the dermatoscope, there are various sizes of hair follicles that can be seen. Some are thick and some are thin. We term this phenomenon "anisotrichosis." In addition hairs emerge from their follicle openings in groups of 1 and 2 hairs rather than the original configuration of 3 and 4 hairs.

A number of other dermatoscopic findings are present including one shown here - the so called "brown peripilar sign" or BPPS.

The BPPS is an early and somewhat specific finding in people with AGA. It is associated with inflammation under the scalp (in the upper hair follicle known as the isthmus and infundibulum). 


This article was written by Dr. Jeff Donovan, a Canadian and US board certified dermatologist specializing exclusively in hair loss.
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