This is an examination that is performed using the FotoFinder digital videodermatoscope. After taking a complete medical history by the doctor, precisely defined images of the capillaries are taken. These are then evaluated by the doctor in cooperation with an international trichoscopic laboratory. The results are processed and the doctor approaches the individual selection of the most appropriate therapy.
Hair is classified as a cutaneous adnexa. They have a protective (they protect us from UV rays, but also from the cold) and aesthetic function. There are approximately 100,000 to 150,000 hair follicles in the human capillitium.
Hair development begins in the womb, in the 14th week of gestation, when the hair follicle is formed. Subsequently, at approximately 18. week the first hairs form. In the prenatal period, we talk about the so-called. synchronous hair growth. After birth it changes to asynchronous growth, when we can divide the “life” of the hair into 3 phases: (Anagenic – growth; Catagenic – transitional; Telogen – resting).
Hair fall can be divided into 2 categories: diffuse and localized. Diffuse hair loss is e.g. during chemotherapy, cytostatic use, stress, acute systemic diseases (this is the so-called Anagen effluvium). In this case, hair loss occurs within a short time of exposure to the pollutant. Hair loss is quite rapid, affecting the entire capillitium in a short time.
Hair loss can also be e.g. after childbirth, change or discontinuation of HAK, diet (this is the so-called telogen effluvium). In the telogen effluvium, there is an increased transition of the hair into the telogen phase.
Androgenetic alopecia is caused by increased testosterone levels or increased sensitivity of target organs to it.
Under the influence of adrogenic hormones, gradual atrophy of the hair follicle occurs. It has a genetic predisposition.
A patient who comes to the outpatient clinic with hair growth disorders and excessive hair loss is first given a thorough anamnestic examination. We focus on the detection of endogenous and exogenous factors that can lead to hair damage (laboratory diagnosis). When diagnosing, we focus on the factors influencing hair loss. From laboratory tests, we can evaluate the level of androgens and their metabolites, blood count, iron and zinc levels after blood sampling. The main factors influencing hair loss include exogenous factors (e.g. improper hair care, exposure to high temperature or chemicals, bacterial or filamentous fungal infections, etc.) and endogenous factors (e.g. genetic predisposition, endocrinological disorders, metabolic disorders, reducing diets, pregnancy, medications, etc.).
Subsequently, in the clinical examination, a trichoscopic examination is performed with the output – trichogram. A trichological examination is a diagnostic test that detects defects and abnormalities of the hair, including the scalp. After that, the doctor will select the appropriate treatment.
A special device is used to examine the hair – the Photo Finder Trichoscale digital dermatoscope, which measures hair growth and hair loss. Unlike traditional methods, it can determine the number of hairs, their length, density and the developmental stage of the hair from anagen to telogen without pain or epilation with incredible accuracy. The measurements are digitally analysed and evaluated on a computer.
Based on a comprehensive clinical examination, the appropriate type of therapy for the patient is determined. The doctor has a choice of several treatment options. He can decide between treatment with mesotherapy solutions, fibroblast treatment or hair transplantation. Variants of mesotherapeutic treatment include administration of PRP plasma, administration of mesotherapeutic solutions, etc.
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