Saturday, January 28, 2017

A 38-year-old man presents with rapid hair loss that has occurred over the last few weeks.

A 38-year-old man presents with rapid hair loss that has occurred over the last few weeks. He reports that his father had a similar condition.
The picture is shown below:

The most likely diagnosis is
A) Alopecia areata
B) Androgenic alopecia
C) Tinea capitis
D) Trichotillomania
E) Secondary syphilis

The answer is
A. (Alopecia areata)

Discussion: Alopecia areata is associated with sudden hair loss that occurs in round patches. The patches are well circumscribed and are not associated with scarring or inflammation. Patients
have no other symptoms. The most common area affected is the scalp; however, the condition may also affect the eyebrows or beard. Alopecia areata usually affects children and young adults and is recurrent. A pathognomonic sign for alopecia areata is the “exclamation point” hair, which is wide distally and narrower at the base. These hairs are often found at the periphery of a patch of hair loss. Hair that regrows in the area of alopecia areata is in many cases white. Nail pitting may also be present.
The treatment consists of injection of intralesional steroids and topical steroids. Most experience complete regrowth of hair.

The following related article may be useful.

1 comment:

  1. Don't You Think It's High Time You Tried Herbal Remedy?

    In 2015, I was diagnosed of genital herpes.. I was 21 years old and I had no idea what that was. When my doctor explained to me what Genital Herpes was all about and what type I had...I was freaked out! if I had missed coming to the ER any sooner, I would have possibly died without having the slightest clue of what led to my death, as i have never heard of, or experienced the virus before! The rashes grew and i have been living with it ever since then. Most of the time, I feel dirty knowing i was living with herpes. Though the doctor already encouraged me to keep using my medications even though there is no permanent cure for the virus. So i continued with my medications, which only makes the rashes to disappear, and reappear after some days. Late last year, I started surfing the web, seeking for herbal treatment as alternative. So i was on YouTube one evening,i stumbled upon a comment about Dr. Ugo and how his herbal medications cured a woman's daughter of Herpes and I decided to reach out to him. He asked me some questions which i answered, after which He prepared some herbs and sent them to me. He then guided me on how to use them. i used the herbal medications for about ,21days. The rashes gradually dried up. So i went for a test and came back home Herpes free. So My experience with this virus made me to realize, people should find out more about themselves before it's too late. So that when tested positive, they will know how to go about it before it becomes late. If you are having any sickness or virus and needs deliverance contact Dr.Ugo (for your permanent healing) He is the right person to tell your health challenges to. You can contact the doctor via his email address :