By Leonard C Sperling
Diagnosing and treating hair problems remains to be a topic that's hardly ever or merely superficially lined in residency education. for that reason, dermatopathologists and scientific dermatologists usually discover a hole of their wisdom. a brand new version of an acclaimed textual content, An Atlas of Hair Pathology with medical Correlations, moment Edition bridges this hole and serves as a primer, an atlas, and a reference.
- Supplies uncomplicated details on anatomy
- Examines medical good points that offer a scientific / pathological correlation
- Details the sensible methods of comparing specimens
- Includes new photos demonstrating easy and complicated histologic positive factors of hair disease
- Explores numerous new diagnoses
Disorders during this version comprise senescent balding, unfastened anagen hair syndrome, psoriatic alopecia, and psoriatic alopecia, and chemotherapy-induced alopecia. The e-book additionally incorporates a word list of phrases on the topic of hair pathology.
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Extra info for An atlas of hair pathology with clinical correlations
The data suggest that decreased hair density is not an inevitable consequence of aging, and noticeable hair loss should only be expected in the very elderly. However, the data were pooled and did not exclude the possibility of outliers, namely, those few patients whose decreased hair density occurred prematurely, for example, in the 6th or 7th decade of life. ” The criteria listed by Kligman (see above) still apply. Other forms of alopecia must first be excluded before the diagnosis of senescent alopecia can be rendered.
Basal vacuolar degeneration is present. 13 In this specimen from a patient with androgenetic alopecia, an abnormally low number of hairs is found at the dermal/subcutaneous junction. However, more superficial levels reveal additional vellus/miniaturized hairs and a few terminal telogen follicles, bringing the total number of hairs into the normal range. In this example, the presence of several streamers and the marked variation in hair shaft diameters offer a clue to the correct diagnosis. However, accurate hair counts cannot be performed at a single level!
11 Lichen planopilaris: randomly scattered, irregularly shaped patches of partial or complete hair loss (with inflammation). REFERENCES 1. Rietschel RL. A simplified approach to the diagnosis of alopecia. Dermatol Clin. 1996; 14: 691–5. 2. Sperling L. Evaluation of hair loss. Curr Probl Dermatol 1996; 8: 97–136. 3. Sperling LC. Hair and systemic disease. Dermatol Clin 2001; 19: 711–26, ix. 14 Brocq’s alopecia pattern: irregularly or geometrically shaped, variably atrophic and hypopigmented, clustered, and well-demarcated plaques of hairless skin.
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