Alopecia (Hair Loss).

Everything you need to know.

Hair loss can occur for many different reasons. At Stratum Clinics, we know just how troubling it can be to lose one’s hair. The most important step is to firstly establish the cause for your hair loss, and then, provided it is treatable, to try and reverse it.

Alternative names: male/female pattern baldness, alopecia, alopecia areata, scarring/cicatricial alopecia, pseudopelade (of Brocq), folliculitis De Calvans, dissecting cellulitis, telogen effluvium.)

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What causes hair loss?

There are two types of Alopecia (hair loss), scarring and non-scarring. Please click on each item below to find out more.

Non-scarring

  • Androgenic or genetic alopecia is the commonest cause of hair loss in men and women
  • Thyroid related hair loss might be due to over or under-active thyroid
  • Alopecia Areata is usually patches of hair loss caused by the immune system
  • Iron deficiency or low ferritin can cause hair loss
  • Telogen effluvium is stress or illness related hair loss
  • Age related hair loss occurs in all people over time
  • Drug induced hair loss can occur as a result of some medications

Stress can exacerbate any of these conditions.

Scarring

  • Lichen plano-pilaris; an inflammatory scalp condition
  • Lupus; an autoimmune condition that can affect the scalp
  • Folliculitis/dissecting Cellulitis; hair follicle inflammation that can lead to scarring
  • Pseudopelade is end stage scarring alopecia of uncertain cause
  • Traction/Traumatic alopecia is due to scalp damage (often through excessive braiding)
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What Alopecia treatments are available?

The most important part of treatment is to make the correct diagnosis. Stratum consultants are fully qualified with the right experience to diagnose the cause of hair loss. Diagnosis involves a consultation, full scalp examination and sometimes blood testing to establish if there is a deficiency or hormonal problem. If scalp disease is present or a diagnosis is not straightforward, a scalp biopsy might be undertaken to examine the process at a microscopic level.

The key to treatment is establishing if the condition is scarring or not. If it is scarring, it is important to switch off the process as quickly as possible to prevent progression, as scarred areas will not regrow. Non-scarring alopecia can recover fully with treatment but may gradually progress over time. It is vital to make the correct diagnosis and prevent any scarring, or alopecia can become irreversible.

Hair loss treatments we offer include:

  • Diagnostic consultation

  • Full scalp examination

  • Blood testing

  • Scalp biopsy

Frequently asked questions

What is it?

Alopecia and hair loss mean the same thing; reduction in hair density and increased hair fall. This can be a diffuse process or occur in localised areas on the scalp or other areas of the body. It can occur slowly over many years, or be rapidly progressive, occurring over days or weeks. There are many causes for alopecia which can broadly be grouped into three categories: internal deficiencies, scalp disease or ‘other’ causes. The most important distinction is whether scarring is a feature or not, because this will dictate how successful treatment can be.

What does it look like?

Hair loss may be diffuse (i.e. androgenic) or localised (i.e. alopecia areata). If there is scarring, the skin might be featureless with loss of hair follicles and pigment.

How might it affect me?

The degree of psychological stress caused by alopecia is usually related to the extent of alopecia and the ease (or lack thereof) with which the condition can be covered or hidden.

For further information on alopecia, see the British Association of Dermatologists websites patient information pages:

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