…..Hair loss in women continued…
…..For most patients, a careful history of their hair loss will give a good indication of the cause. There are many questions to be considered; the following are some of them.
- Is the loss diffuse or is it in a specific area? If it is in a specific area, it is important to delineate the location.
- Hair care techniques and the products used can provide important information. Are chemical straighteners being used?
- Are cornrows part of a new style of yours or have they been used for some time? Traction alopecia has been seen with the cornrows hairstyle.
- During a physical exam, the scalp should be carefully inspected. Is there any scaling, inflammation, or reddish areas?
…..In the areas of the hair loss, if there are hair follicles then you are dealing most likely with non-scarring alopecia. If there are no follicles then this could be scarring alopecia, and this patient should be sent to a dermatologist, who will consider a biopsy. The hair should be evaluated for it’s length, thickness, and fragility. Lastly, a pull test could be performed, which will help determine if active shedding is taking place.