Hair Loss Symptoms: Diagnosis and Treatment Options - Dermatology

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Determining the Symptoms of Hair Loss


Hello, Doctor: I would like to ask about the assessment of hair loss symptoms.
Do general dermatology clinics or public hospital dermatology departments have instruments for scalp examination to assess the condition of hair follicles, etc.? (From a physician's perspective, would you recommend visiting a general dermatology clinic or a public hospital clinic?) Additionally, does hair loss always indicate symptoms of scalp baldness, or could it also be related to follicular keratosis or other stimulating factors? Is it advisable to purchase related medications from a pharmacy for self-treatment? Lastly, I recently read a report stating that each hair follicle has 25 growth cycles, and if the follicles gradually deteriorate (within two years), they will no longer be able to grow hair.
Is there any scientific basis for this claim? These are some minor concerns, and I appreciate your assistance in answering them.
Thank you.

Kent, 20~29 year old female. Ask Date: 2006/11/06

Dr. Jiang Yujiao reply Dermatology


Hello: In response to your question, scalp examination is an auxiliary non-essential procedure typically used to assess the condition of the scalp skin and the status of hair follicles based on the overall clinical symptoms of hair loss and the characteristics of the shed hair.
There are many factors contributing to hair loss, and professional evaluation is absolutely necessary.
It is recommended to consult a dermatologist, and self-treatment is not advised.
The necrosis of hair follicles is related to underlying conditions and is not associated with the duration of hair loss.

Reply Date: 2006/11/06

More Info


Hair loss can be a distressing experience, and understanding its symptoms, diagnosis, and treatment options is crucial for anyone facing this issue. In your inquiry, you raised several important points regarding hair loss, scalp health, and the role of medical professionals in diagnosing and treating these conditions.

Firstly, regarding the availability of scalp examination tools in dermatology clinics, most dermatologists, whether in private practice or public hospitals, typically have access to specialized instruments for assessing hair and scalp conditions. These may include dermatoscopes, which allow for a magnified view of the scalp and hair follicles, helping to identify issues such as inflammation, scarring, or miniaturization of hair follicles. Therefore, it is advisable to consult a dermatologist who can perform a thorough examination and provide an accurate diagnosis based on the condition of your scalp and hair.

As for the relationship between hair loss and scalp conditions, it is essential to note that not all hair loss indicates the presence of baldness or alopecia. Hair loss can result from various factors, including hormonal changes, nutritional deficiencies, stress, and scalp conditions such as seborrheic dermatitis or folliculitis. Conditions like follicular keratosis can also lead to hair loss without necessarily indicating baldness. Thus, a comprehensive evaluation by a dermatologist is necessary to determine the underlying cause of hair loss and to rule out other scalp disorders.

Regarding self-treatment with over-the-counter products, while some individuals may find temporary relief or improvement using topical treatments or shampoos, it is generally recommended to seek professional advice before starting any treatment regimen. A dermatologist can help identify the most appropriate treatment based on your specific condition, whether it be a medicated shampoo for dandruff, topical minoxidil for androgenetic alopecia, or other therapeutic options.

You also mentioned a common belief that each hair follicle has a limited number of growth cycles, often cited as around 25. This concept is rooted in the biology of hair follicles, which undergo cycles of growth (anagen), rest (telogen), and shedding (catagen). While it is true that hair follicles can become less productive over time, leading to thinning and eventual cessation of hair growth, the notion that they will "die" after a certain number of cycles is somewhat simplistic. Factors such as genetics, hormonal influences, and overall health play significant roles in the longevity and functionality of hair follicles. If a follicle is damaged or scarred, it may not regenerate hair effectively, but this does not mean that all follicles will cease to function after a fixed number of cycles.

In conclusion, if you are experiencing hair loss, it is crucial to consult a qualified dermatologist who can provide a thorough examination and appropriate treatment options tailored to your specific needs. Early intervention can often lead to better outcomes, especially in cases of genetic hair loss or other treatable conditions. Remember, while self-treatment may seem convenient, professional guidance is invaluable in addressing the complexities of hair loss and scalp health.

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