Hair Loss: Principles of Diagnosis and Management of Alopecia

192 Pages·2001·37.3 MB·English

by  Jerry Shapiro

Hair Loss: Principles of Diagnosis and
Management of Alopecia

Hair Loss: Principles of
Diagnosis and
Management of Alopecia
Jerry Shapiro, FRCPC
Clinical Professor and Director of the UBC Hair Research and
Treatment Centre
Division of Dermatology
University of British Columbia
Vancouver
Canada

Martin Dunitz
© 2002 Martin Dunitz Ltd, a member of the Taylor & Francis group

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Composition by Scribe Design, Gillingham, Kent
Contents
Foreword vii 4 Surgical management of
androgenetic alopecia 121
Acknowledgements ix
5 Drug-induced alopecia 135
1 Assessment of the patient
with alopecia 1 6 Telogen effluvium: acute
and chronic 147
2 Alopecia areata: Pathogenesis,
clinical features, diagnosis 7 Cicatricial (scarring)
and practical management 19 alopecia 155
3 Androgenetic alopecia: Index 175
Pathogenesis, clinical features
and practical medical
treatment 83

Foreword
Jerry Shapiro is a dedicated clinician/scientist preferences of other hair experts. Complex is-
who has devoted himself to all aspects pertain- sues are presented, such as immunological fac-
ing to the hair follicle. He has written a unique tors in alopecia areata, in clear terms for all
text that will be invaluable for clinicians, re- readers. The illustrations are extensive, a col-
searchers, and students of the hair follicle. lection of unique photographs and
This is an organized and rational guide for as- photomicrographs from his own collection.
sessing and managing hair loss, which is set The text is exceptionally readable and comple-
apart from others by the blending of rich clini- ments the book’s systematic and inviting or-
cal detail with the latest investigative research ganization. Jerry Shapiro has accomplished an
and theories of pathogenesis, all extensively amazing single-authored, comprehensive text
referenced. It is a practical and personal ap- about hair that enriches the reader from bench
proach that reflects Dr Shapiro’s long experi- to bedside.
ence with hair problems both in the clinic and Vera H Price MD, FRCPC
in the laboratory. His explicit recommenda- Professor of Clinical Dermatology School of
tions about management are given, and where Medicine
appropriate, he also includes the treatment University of California, San Francisco

Acknowledgements
There are certainly many individuals to thank lar biology and basic science of hair. Drs
in the making of this book. First and foremost, Magda Martinka and David Shum, who con-
I am most indebted to my hair loss patients tinue to enlighten me regarding the histopa-
who have trusted me and given me the privi- thology of the hair follicle. Nina MacDonald,
lege of taking care of their hair. It continues to my first Hair Clinic nurse, who was dedicated
be an honor for me and I thank them for this. and helped shape the University of British Co-
Next, I would like to thank certain individu- lumbia Hair Clinic during its early years.
als who have played an important part in my Lucianna Zanet, my Hair Transplant nurse,
career. Dr Harvey Lui, who has, and continues who has guided me for the last 10 years with
to guide and nurture me in the field of derma- all her great surgical skills and great common
tology. Dr William Stewart, who was the first sense approach to patients.
individual to encourage me to take on the field I thank my editors, Charlotte Mossop and
of hair. Dr David McLean, whose advice, sup- Robert Peden, whose time and efforts were
port and encouragement helped the University absolutely essential in making this book pos-
of British Columbia Hair Research and Treat- sible.
ment Centre flourish. Dr Vera Price, who has I would like to thank the University of Brit-
been my ‘’hair’’ mentor for over 15 years and ish Columbia’s Division of Dermatology and
has been an inspiration and role model. Dr the Vancouver General Hospital Skin Care
Wilma Bergfeld, who allowed me to learn from Centre for providing the environment for me
her in Cleveland and from whom I continue to to work in the field of hair.
learn. My Hair Fellows: Dr Chantal Bolduc, Dr I also would like to especially thank my
Shabnam Madani and Dr Olga Bernardo, who family and friends who stood back and al-
took time out of their busy lives to commit a lowed me to take the weekends and evenings
year to studying hair with me. Each fellow has to finally accomplish this endeavor.
questioned, challenged and inspired me to Jerry Shapiro
learn so much more; they truly are very spe- University of British Columbia Hair Research
cial people. My research associate, Dr Liren and Treatment Centre
Tang, who continues to teach me the molecu-