The presence of increased hair growth is divided into two pathological entities, hypertrichosis, which affects both sexes, and shaggy hair, which affects only women.
Hypertrichosis is the increased growth of terminal hair in areas of the body not affected by androgens.
It is divided into Generalized, in Dependent from drugs and in due in various diseases.
Dastrichism is the growth of terminal hair in areas of the body abnormal for women affected by androgens, such as the upper lip, cheeks, chin, mid-chest line, breasts, underbelly, back, buttocks and inner thighs.
REASONS
Classical causes of hypertrichosis are the intake of various drugs such as cortisone, the antiepileptic phenytoin or the immunomodulatory cyclosporine. Also pathological conditions such as hypothyroidism, neurogenic anorexia, late cutaneous porphyria (usually from alcohol overconsumption), etc. A common case of localized hyperpigmentation is hair growing on moles (moles) and the topical use of minoxidil on the scalp for alopecia, which may stimulate hair growth on the adjacent face as well.
Heredity also plays an important role in increased hair growth.
WHAT WE DO
First of all, a full background check for possible serious underlying disease is performed. Also, if there is a clinical picture of Cushing's syndrome, androgenetic syndrome, acne, androgenetic-type alopecia, increased muscle mass, further laboratory testing is carried out.
The endocrine gland disorders that cause shaggy hair are:
- Cushing's disease
- Cushing's syndrome
- Ectopic ACTH production
- Benign and malignant tumours of the androgen-producing endocrine glands
- Congenital hyperplasia of the endocrine glands
The ovarian diseases that cause shaggy hair are:
- Ovarian tumours benign and malignant
- Polycystic ovary syndrome consisting of acne alopecia alopecia melanesias acanthosis obesity menorrhagia oligomenorrhoea amenorrhoea and infertility
- Increased levels of LH and LH/FSH ratio
- –
Finally, the drugs that cause shaggy hair are Androgens and Anabolic Steroids.
THERAPY
Systemic and local treatment is applied.
During systemic treatment, the following are administered:
- Antiandrogens, Spironolactone or Finasteride
- Corticosteroids
- Contraceptives
Local treatment includes:
- Selective photothermolysis with lasers of various types and wavelengths
- Eradication with tweezers
- Shave
- Candle
- Bleaching of hair with hydrogen peroxide
- Ceratolytic substances strontium or barium sulphide 20%
- Electrolysis
Source : https://www.edae.gr
