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Alopecia

16.10.2008 in ALOPECIA AREATA, HAIR LOSS [ PHOTOS ] TREATED

 

Question

Why is my hair falling out to the point where I appear to have lost about half of my hair in the last month?

It comes out in handfuls, but has not left any bald patches that I am aware of.

Answer

This is a surprisingly common problem and so in such cases I always suggest you see your GP and arrange some simple blood tests in the first instance.

This is to check you are not anaemic, low in thyroid hormone, suffering from an early menopause or have any other obvious deficiency in your blood.

Alopecia is usually stress related and settles by itself long term, but to avoid undue worry get the tests done and then any deficiencies can be sorted out.

Yours sincerely

The Medical Team

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Medical Updates: Genetic Link to Baldness Could Lead to New Treatment and Prevention

16.10.2008 in HAIR LOSS SCIENCE

Men who experience hair loss may one day benefit from the discovery of genes that create risk for baldness and stem cells that could replenish hair follicles. Researchers in England and Germany have discovered a new genetic link to male pattern baldness, while Swedish researchers are working toward stem cell treatment for hair loss.

According to Felix F. Brockschmidt, a postdoctoral fellow at the University of Bonn and one of the authors of a report on the German study published in the journal Nature Genetics, this is the second genetic connection to the type of hair loss experienced by many men and some women as they age. Brockschmidt acknowledged that the first gene known until now is on the X chromosome and that it is the most important for hair loss (alopecia). He stated, “We are sure that this new locus we found is the second most important.”

Brockschmidt also explained that this discovery may lead to genetic testing that could identify men who are most likely to lose hair with age. “Screening for the X chromosome locus and also for this new one can possibly show the risk of male pattern baldness,” he said.

However, Brockschmidt acknowledged that the prevention of hair loss in people with these gene variants is a different situation and emphasized that preventive treatment would not be available in the near future. He said, “As soon as we know the gene and how it functions, we can do something,” but that “Right now, we have identified the locus but not the gene.”

Only a few years ago, the gene location on the X chromosome was identified. A man inherits one copy of the X chromosome from his mother. The new gene locus is located on chromosome 20, of which both men and women have two copies, inherited from both their fathers and mothers.

The researchers analyzed over 500,000 variable sites in the genomes of about 300 men who suffered from marked hair loss. Two positions recurrently showed an apparent connection with baldness indicating that the genes located at those positions were implicated in hair-loss.

Another study, also published in Nature Genetics, led by researchers at Kings College London in which 1,125 men were assessed for male pattern baldness. The genes of 578 men with early-onset hair-loss were analyzed and compared against those of 547 others who were retaining their hair. Two chromosome 20 regions were shown to be associated with baldness. The researchers then confirmed their findings against other groups analyzed in Britain, Iceland, Switzerland and the Netherlands, studying about 5,000 people in all.

Study participants with hair loss commonly shared the same variations of two genes that made them seven times more likely to experience baldness. According to the authors, the genetic variations were also found in women, although the link wasn’t statistically significant.

About 25 percent of Caucasian men suffer from the effects of hair loss before age 30. Although there are some products available on the market that can help hair re-grow or in some cases, prevent hair loss, they are not always effective.

According to Tim Spector, a researcher in Kings College London’s department of twin research and genetic epidemiology, who led the London study, treatments that target the DNA responsible may be more promising than products currently available for the re-growth and prevention of hair loss. In a statement, Spector also noted that “Early prediction before hair loss starts may lead to some interesting therapies that are more effective than treating late-stage hair loss.”

Viljar Jaks of Sweden’s Karolinska Institute led the stem cell study. Mouse hair follicles were examined for signs of rapid growth and a protein called Lgr5 was found on the surface of long-lived, active stem cells in hair cells. Cells with Lgr5 were capable of maintaining hair follicles for as long as 14 months with a few of these cells having the ability to build an entire hair follicle.

The study authors said that in more than 80 percent of cases, hair loss might be hereditary and it has also been linked to illnesses including heart disease and metabolic syndrome.

According to the U.S. National Institutes of Health, two of three men will have a balding pattern of hair loss or be bald by age 60.

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Athletes Still Angry Despite Lifting Of Propecia Ban

16.10.2008 in Uncategorized

While the news that the hair loss drug Propecia will be removed from the list of banned substances has been received with a cheer from most professional athletes, many of them say that they are still angry that the hair loss drug was ever part of the World Anti Doping Agency regulations in the first place.

For example the professional tennis player Mark Nielsen from New Zealand who has dropped hugely in world ranking as a result of being banned for two years is still smarting from what he feels was an incredibly unfair decision. The fact that the active ingredient of the hair loss drug Propecia namely finasteride has now been shown to not interfere or mask the use of anabolic steroids means that his ban was completely in vain.

Many other male professional athletes have tested positive for using Propecia over the last few years including the Brazilian soccer legend Romario, the Italian golfer Alessandro Pissilli, Zach Lund the skeleton racer and Mariano Hood a rival tennis player of Mark Nielsen from Argentina.

These athletes who have been banned say that not only did they have extensive media coverage on the embarrassing issue of their hair loss but they have also been made out to have been “cheating” in their respective sport which has cast a shadow over their reputations. They also complain about the huge amount of money they have spent on legal fees and loss of earnings from not being able to participate in their respective sports.

On the other side of the argument people will argue that despite the drug having no performance enhancing effect, professional sportsman should take it upon themselves to make sure they know what drugs they can and cannot take, and if they had checked they would’ve known that Propecia could not be used.

At Ukmedix News we know that some male athletes faced with a choice of taking a risk in order to maintain a full head of hair are prepared to take that step. It is estimated that for every male athlete who was caught using the Propecia drug there are many more who got away with it and who have therefore reaped the benefits of the drug.

Propecia is statistically the most effective drug to deal with male pattern baldness and is used by millions of men all over the world. The drug company Merck that makes the Propecia hair loss drug has welcomed the news that finasteride has been taken off the WADA list of banned substances.

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Could my thinning hair be linked to hormone changes?

15.10.2008 in HAIR LOSS [ PHOTOS ] TREATED, HAIR LOSS SCIENCE

Question

The hair around my forehead and towards the crown is becoming gradually thinner which is making me very self-conscious.

Could this be linked to hormone changes and therefore is it worth getting my GP to do a blood test?

Answer

Yes it could be linked to hormone changes and I see you have hypothyroidism. This is a common cause of such hair thinning so it’s time to have a blood test to check the current levels of thyroid hormone in your system.

If that has been done recently then it could still be due to other hormonal changes – the sex hormones. The best thing to do is have it checked out.

Yours sincerely

The Medical Team

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Can HRT make your hair thin?

15.10.2008 in FEMALE HAIR LOSS

 

Question

My hair has been getting thinner and thinner over the last few years since just before I had my hysterectomy.

My mother has wonderful thick hair so I don’t think it’s genetic.

I have been taking HRT for several years (Premarin tablets) and now for the last 4 months Tibilone and it is still getting thinner.

Could HRT be the cause of the thinning?

Answer

Thinning hair together with increased wrinkling and loss of skin tone is a common and normal feature for many women at the time of the menopause. Recent research has scientifically corroborated the popular idea that women taking HRT actually look younger when taking HRT because of the very effect that HRT has in improving the skin and hair at this time. The vast majority of menopausal women therefore find that the condition of their hair significantly improves when they take HRT rather than the other way around.

There are, however, a few women who have reported hair loss whilst taking HRT although these would be a very small minority. It is interesting that you have been switched from Premarin to Livial (Tibilone) because whilst the latter is a reasonable alternative to normal HRT and does not lead to a return to monthly periods, it does not contain oestrogen as such, and may therefore be less likely to improve the condition of your hair. Skin irritation is listed as a possible side effect of Tibilone and therefore perhaps you should review this prescription with your own doctor.

On a cosmetic note, having a semi-permanent colour will add shine and vitality and give a healthier looking frame to the face. A shorter hair cut makes it look healthier and thicker. Deeper richer colours will give hair the appearance of being thicker, so try to avoid blondes as they can make hair look thinner. Pump up the volume in flat hair by using self-grip rollers. Comb conditioner through your hair whilst it is wet and before you rinse. This way you will detangle the hair with the least amount of stress to the hair shaft and so avoid any unnecessary further hair loss.

Yours sincerely

The Medical Team

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