Diagnosis
Hair Diagnose
At the beginning, diagnosis is always a long conversation. The figure below shows an example of a scheme, as the doctor's diagnosis is going on. He clears off, since when the increased hair loss and causes which come into consideration. It is interesting, among other things, whether the person takes drugs, under conditions such as diabetes or an overactive thyroid gland suffers, and how the family is biased.
It should also, as is the hair loss is expressed:
- Hair fall out, or only at certain points on the entire head?
- Falls of hair loss slow or there is a sudden hair loss?
- Reveals a pattern in the hair loss?
By examining the head, with the naked eye or through a magnifying glass, the doctor determines the type and degree of hair loss by the scalp, the hair texture and hair density closer look. A simple and reliable method that can be performed at home, counting the fallen hair. Comb your hair every morning times on both sides of 5th Then count the hairs that stick in the comb or brush. With few exceptions, can thus be identified in order that disruption of hair growth is concerned.
If this is not the case, one or more of the following investigations are connected:
Plucked or Epilationstest
This test can be helpful for the recognition of the severity of hair loss. To carry out the doctor takes a pile of hair with a gentle tug and pull on it. Is to solve it is healthy, growing hair, it is not itself, is otherwise a thorough diagnosis is required.
Trichogram
This is the study of the hair root, which is comparable to the blood for the diagnosis of other diseases. The doctor works so that it takes from the patient approximately 50 hairs, together with the root of a hair loss from affected area and a "healthy" body.
Normally, about 85% of hairs are in the growth phase, about 1% in the transitional phase and about 14% in the rest or failure phase. The proportion of hairs that are in the resting phase or failure, increased significantly, there may be a hereditary hair loss. In addition, this test gives insight into how the state is the hair roots, whether the hair break off and strengthened if the surface structure of the hair is pathologically altered.
Scalp biopsy
A scalp biopsy can be of benefit if they can not be settled by other means, where the hair loss occurs.
Under local anesthesia, the doctor removes it an approximately 4 mm piece of the affected scalp including hair roots and examined it under a microscope.
Laboratory tests
To complete the diagnostics it may be necessary to examine the patient's blood. For example, can be the iron and zinc levels and the hormonal status of importance.
Skin Diagnose
The skin is primarily carried out with the naked eye. Suspicious lesions are a special magnifying glass (light microscope) assessed. Your doctor suspected skin cancer, is also a sample of tissue ( biopsy taken from the local anesthetic in the histological laboratory diagnosis to be confirmed) as. For suspected melanoma lesions, the entire fabric without prior biopsy surgically removed. Depending on the findings, further investigations are necessary. These can be the clinical investigation of the efferent lymph, laboratory tests, ultrasound of the lymph nodes of the abdomen and X-ray of the lungs and cover.
The surgical removal with histological complete protection is the standard approach in the treatment of basal cell carcinoma and squamous dar. In some cases, a non-surgical treatment is to be preferred. These can be locally e beam therapy , cryo therapy (cold treatment), photodynamic e therapy (light therapy in combination with a light-sensitive substance), local e immunological therapy (imiquimod) and local e chemo therapy 5-fluorouracil) include (. The melanoma is surgically removed, and each case examined microscopically in. Are already lymph nodes of tumor cells affected, should the nearby lymph nodes are removed. Depending on the findings, a subsequent immune therapy may be necessary. Have already formed secondary tumors in other organs can radiation therapy , immune therapy and chemo therapy are applied.