Blog of a Hair Loss Physician

Dr. Jeff Donovan, Dermatologist & Hair Transplant Specialist --- www.donovanmedical.com ---

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Frontal Fibrosing Alopecia (FFA): Perifollicular Scale/Peripilar Casts

Perifollicular Scale/Peripilar Casts

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What constitutes a normal appearing scalp?

Recognizing the Normal Scalp In order to appreciate what is “abnormal” on the human scalp, one needs to fully understand what is normal and what are all the variations of normal that are possible. The normal scalp is not red and not flaky. Hairs emerge in groups of 1,2 and 3 hairs. In some cases

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Diagnosis of Scarring Alopecia in the Early Stages

Early Diagnosis More Challenging that Late Stage Diagnosis Diagnosing scarring alopecias in the earliest stages is more challenging because the appearance of the scalp may not look all that unusual. The photo here is from a patient with lichen planopilaris. There are subtle features like

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Scarring Alopecia: Is there any chance of regrowth?

Regrowth in Early Treatment of Scarring Alopecias

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Androgenetic Alopecia: The Brown Peripilar Sign

BPPS: Brown peripilar sign in AGA

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Lichen planopilaris: Is cyclosporine among the most effective?

Cyclosporine for Treating Lichen Planopilaris

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Witch hazel is commonly used to treat minor skin irritations such as insect bites. However, it has other potential uses in skin medicine including the treatment of various eczemas, acne, and blistered skin. Recent evidence would suggest that witch hazel may have benefits for red scalp. Witch hazel&

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Practical non drug options for treating scalp symptoms Scalp symptoms such as itching, burning and tenderness are common in a variety of conditions. Patients with seborrheic dermatitis, psorasis, scarring alopecia and telogen effluvium all can experience scalp symptoms. A variety of conditions (t

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Fibromyalgia as a Cause of Scalp Dysesethesia The “scalp dysesthesias” are a group of conditions whereby the patient has various types of symptoms in the scalp despite the scalp looking fairly normal. In other words, these are a group of disorders characterized by chronic cutaneous

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Hair Loss Teaching Sessions: Hair Rounds Fall 2018

Hair Rounds Fall 2018 Great afternoon working with our local dermatology residents and our amazing patient volunteers who gave up their time to help teach physicians about hair loss. We learned about scalp dysesthesias and the differential diagnosis of patients with marked scalp symptoms.&

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Scarring Alopecia and Shedding Hair: Is Shedding Increased?

Is Shedding Increased?

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Hydroxychloroquine (Plaquenil) dosing: Are we following the new guidelines?

New Hydroxychloroquine Dosing Hydroxychloroquine (Plaquenil) is an oral medication used int he treatment of several autoimmune diseases. In the field of hair loss, hydroxychloroquine is commonly used to treat lichen planopialris, frontal fibrosing alopecia, pseudopelade, discoid lupus and othe

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End Of Day Scalp Symptoms: EODSS

EODSS

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PRP, Concentration and Volume: Analogy of Coffee vs Expresso

Analogy of Coffee vs Expresso

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Placebo Effect: Pill Color Actually Matters

Pill Color Actually Matters

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Dutasteride Prescribing for Pre-menopausal Women Requires Caution If any drug is to be prescribed, the prescriber needs to know everything about the drug. So does the pharmacist who is dispensing the drug. The prescriber also needs to figure out what information is important to convey to the patie

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Hormonal Changes in Late Onset Congenital Adrenal Hyperplasia

Hormonal Changed in Late Onset CAH Resemble PCOS Late onset on “non-classic” congenital adrenal hyperplasia (LOCAH) is an uncommon genetic disorder that is most often (95 % of the time) caused by mutations in 21-hydroxylase gene. This mutation leads to reduced levels of the 21 hydroxylase enzyme.