Understanding Hair Transplants and Hair Loss - Pacific Hair


Understanding Hair Transplants and Hair Loss - Pacific Hair

Focal Non-Scarring Alopecia

Entity Distinguishing features

Patchy alopecia areata History, exclamation point hairs, hair pull test, depigmented hairs

Secondary syphilis Serology for syphilis (contagious)

Tinea capitis (ringworm) Broken hairs, scaling, erythema, positive smear and culture


Traction alopecia Typical pattern from traction

Triangular alopecia Pattern, configuration and history on temple

Trichoterlomania Shaved hairs

Trichotillomania Broken hairs present from manipulation, hairs of various lengths

Scarring Alopecias

Generally, scarring alopecias present with a smooth, shiny scalp without pores, because

the hair follicles have been destroyed by the scarring process . Usually a biopsy is required

in these cases, as well as lab tests . There may be redness and scaling at the active

borders . They may usually be transplanted after they have been “burned out” (inactive)

for one year

Scarring Alopecia Entities

Discoid lupus Lichen planopilaris Folliculitis decalvans

Morphea Pseudopelade Infection – Pseudofolliculitis barbae

Sarcoidosis Fibrosing alopecia in a pattern distribution

Follicular degeneration syndrome (hot-comb alopecia) (CCCA)

Hair Breakage, Causes:

1) Chemical or Physical Damage

2) Trichotillomonia

3) Anagen Effluvium

4) Hair Shaft Anomalies:

Monilethrix (beaded hair)

Pili torti (twisted hair)

Trichorrhexis invaginata (bamboo hair)

Pili annulati (ringed hair)

Bubble hair (damage from heat of hair dryers, curling irons, etc .)

Trichorrhexis nodosa (nodes on hair)

Trichonodosis (knotted hair)

Trichoptilosis (split ends)


U n d e r s t a n d i n g H a i r T r a n s p l a n t s a n d H a i r L o s s


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