Nielson T A, Reichel M
Ohio State University College of Medicine, Columbus, USA.
Am Fam Physician. 1995 May 1;51(6):1513-22, 1527-8.
Hair loss is a common problem that may affect both males and females in all age groups. Although androgenetic alopecia (common baldness) is the most frequently occurring type of hair loss, hair loss can result from a variety of local and systemic conditions. A detailed history, complete physical examination and directed use of laboratory tests are indicated in making the diagnosis. Specialized tests such as "hair pluck" and scalp biopsy may also be required. Treatment is focused on removing the cause of secondary hair loss, patient education and specific interventions for individual types of alopecia. All treatment strategies should address the significant cosmetic and psychologic impact of hair loss.
脱发是一个常见问题，可能影响所有年龄组的男性和女性。虽然雄激素性脱发（常见的秃头症）是最常见的脱发类型，但脱发可能由多种局部和全身状况引起。诊断时需要详细的病史、全面的体格检查以及针对性地使用实验室检查。可能还需要“拔发”和头皮活检等专门检查。治疗重点在于消除继发性脱发的原因、对患者进行教育以及针对个别类型的脱发进行特定干预。所有治疗策略都应考虑到脱发对外观和心理的重大影响。
