Scalp Biopsies - Dr. Donovan's Overview in 10 Minutes
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- čas přidán 20. 07. 2024
- The "Commentaries in Hair Loss" series addresses various topics in the field of hair loss. It features Dr. Jeff Donovan, a Canadian dermatologist specializing in hair loss.
In this commentary, Dr. Donovan briefly reviews the key histopathological findings of androgenetic alopecia, alopecia areata and scarring alopecia.
Thank you for sharing. Your posts are a breath of fresh air and are extremely helpful for both health practitioners and the average hair loss patient. It is commendable that you share your knowledge so openly! With so many fallacies floating around about hair loss and hair loss solutions, it is great to know that there are reliable resources to turn to.
Thanks so much Mandy. I hope the information will be helpful to many.
Thank you so much for doing this video. I really appreciate the clarity and deep dive into the hair loss distinctions.
Hugs from a Dermatologist in Brazil love it!!! Thank you
E uma paciente brasileira que acabou de fazer Hair Biopsy 😬
Just had a biopsy on my scalp. Feels like a massage.
Great video Dr.Donovan, very informative.
I wanted to check if you take patients online/on call, I am located at Hartford, CT U.S.A.,
Am 26 I noticed hairloss from past 8-12 months, I have no family history of baldness, recently visiting dermatologist examined me with genetic AGA and adviced to use minoxidil 5% for years, thinning hairs behind frontal area to the crown area. So far frontal hairs doesn’t show any loss, please advice.
We do online consultations. However, our criteria is quite strict as to who qualifies for an online consultation. Online consultations can be helpful for some patients but are not helpful for others. You might wish to review this link: donovanmedical.com/skype.
All patients requiting a remote consultation with me MUST ensure that they meet the following five criteria. I regret I am unable to accept requests for appointments unless these five criteria are met:
1. PATIENT HAS SEEN A PHYSICIAN BEFORE ABOUT HAIR LOSS AND IS CURRENTLY UNDER THEIR CARE.
2. ONLINE QUESTIONNAIRE SUBMITTED TO OUR OFFICE.
3. BLOOD TESTS ARE FORWARDED TO OUR OFFICE.
4. A SCALP BIOPSY HAS BEEN DONE (except for patients with alopecia areata) AND RESULTS ARE FORWARDED TO OUR OFFICE.
5. PATIENT SUBMITS PHOTOS TO OUR OFFICE.
Thank you for this. Your slides have been more helpful in learning about all of this than from anywhere else. I’m still stuck wondering though what it means if my biopsy resulted in ‘scarring follicular injury with ectopic hair shafts most commonly seen with severe traction damage or trichotillomania’. I don’t suffer from trichotillomania, and traction damage doesn’t fit either. I have autoimmune diseases, so I went with the biopsy, thinking the results would end up going that route. I wasn’t expecting my results, and am left even more confused.
I'd need to see your scalp and the biopsy to confirm 100 % what is going on. However, what you are describing is generally referred to in the dermatology world as 'NHS' or naked hair shafts. They do not necessarily need to be a feature of Trichotillomania or severe traction. They can be seen in many different hair conditions, although they are more common in scarring alopecia. Approximately 25 % of patients with lichen planopilaris (LPP) and central centrifugal cicatricial alopecia (CCCA) have these types of findings and 2 % of discoid lupus erythematous (DLE). You'll want to discuss further with your dermatologist and dermatopathologist. Here's a helpful reference. Good luck. www.ncbi.nlm.nih.gov/pubmed/29293128
What your take on accutain patients who lost hair and scalp problems. I suffer
With end stage advanced alopecia, there are no known treatments to get the hair growing again, correct?