Dermatology and VenereologyDermatology and Venereology
Hair loss
Hair loss
Hair loss refers to the phenomenon of hair shedding. It is normal to lose 50-100 hairs per day, which is a natural metabolic process of hair and does not require concern or treatment. If more than 100 hairs are lost per day, or significantly more than usual, accompanied by a decrease in overall hair volume or density, reduced hair in a specific scalp area, or the appearance of bald patches, it is considered abnormal hair loss.
Hair loss can be divided into non-scarring alopecia and scarring alopecia. Non-scarring alopecia includes androgenetic alopecia (formerly known as "seborrheic alopecia"), telogen effluvium, alopecia areata, etc.
The main causes of hair loss include:
Androgens: Patients with androgenetic alopecia have elevated dihydrotestosterone levels, leading to hair loss. Patients who have had their testicles removed due to tumors do not develop the condition, indicating the important role of androgens in hair loss.
Genetics: Children of parents with hair loss have a higher risk of developing the condition than others.
Mental stress: Excessive mental stress often leads to increased hair loss. Under mental stress, the arrector pili muscles contract, hair stands erect, and the function of the autonomic or central nervous system becomes disordered. This leads to changes and malnutrition in the hair follicles and dermal papillae, thereby inhibiting hair growth function, causing hair to enter the telogen phase, and resulting in hair loss.
Medications: Chemotherapy drugs, blood thinners, high blood pressure medications, and contraceptives can all cause temporary hair loss.
Nutrition: Hair is an external manifestation of the body's condition. Malnutrition and abnormal metabolism can cause changes in hair quality and color, and severe malnutrition can even lead to diffuse hair loss.
Autoimmune diseases: Autoimmune diseases can cause alopecia areata.
Dyes and other chemicals: Frequent use of shampoos, perms, bleaching, and hair dyeing can cause hair thinning.
Others: Burns, various injuries, and X-rays can also cause temporary hair loss. Once the cause is removed, hair will resume growth. In addition, thyroid diseases, lupus erythematosus, diabetes, and other conditions can also cause hair loss.
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