Trüeb Ralph M, Henry Jim P, Davis Mike G, Schwartz Jim R
Center for Dermatology and Hair Diseases, University of Zurich, Wallisellen, Switzerland.
The Procter and Gamble Company, Cincinnati, OH, USA.
Int J Trichology. 2018 Nov-Dec;10(6):262-270. doi: 10.4103/ijt.ijt_57_18.
Conventionally, the medical focus has been either on hair loss or the condition of the scalp in terms of specific dermatological diseases. Indeed, the proximate structural arrangement of the scalp and hair leads to an interdependent relationship between the two. While protective benefits of the hair to the scalp are obvious, the role of the scalp as an incubatory environment for the preemergent hair fiber has largely been ignored. In fact, there is a wealth of observational data on specific dermatological conditions of the scalp providing evidence for the role of the scalp condition in supporting the production of healthy hair. Oxidative stress, the inability of the body to sufficiently counteract the sources of oxidation, is prevalent in many skin conditions, including normal skin aging. On the scalp, the hair appears to be impacted prior to emergence, and oxidative stress appears to play a role in premature hair loss. The scalp commensal organism, , has been recognized to be a source of oxidative damage. Therefore, hair care products, specifically shampoos, with active inhibitory agents, such as zinc pyrithione, tend to reduce premature hair loss, besides the known benefits in treating specific dermatologic scalp pathologies, and therefore should represent an integral part of every treatment regimen for hair loss, even in individuals not showing symptoms of scalp pathologies.
传统上,医学关注的焦点要么是脱发,要么是特定皮肤病学疾病方面的头皮状况。事实上,头皮和头发的直接结构排列导致两者之间存在相互依存的关系。虽然头发对头皮的保护作用显而易见,但头皮作为新生毛发纤维孵化环境的作用在很大程度上被忽视了。实际上,有大量关于头皮特定皮肤病学状况的观察数据,为头皮状况在支持健康头发生长中的作用提供了证据。氧化应激,即身体无法充分抵抗氧化源,在许多皮肤状况中普遍存在,包括正常皮肤老化。在头皮上,头发在长出之前似乎就受到影响,氧化应激似乎在过早脱发中起作用。头皮共生微生物已被认为是氧化损伤的一个来源。因此,含有活性抑制剂(如吡啶硫酮锌)的护发产品,特别是洗发水,除了在治疗特定皮肤病学头皮病症方面具有已知益处外,往往还能减少过早脱发,因此即使在没有头皮病症症状的个体中,也应成为每种脱发治疗方案的一个组成部分。