Hypotrichosis

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Hypotrichosis
Classification and external resources
ICD-9-CM 704.09
DiseasesDB 14765
MeSH D007039

Hypotrichosis ( hypo- + tricho- + -osis ) is a condition of abnormal hair patterns, predominantly loss or reduction. It occurs, most frequently, by the growth of vellus hair in areas of the body that normally produce terminal hair. Typically, the individual's hair growth is normal after birth, but shortly thereafter the hair is shed and replaced with sparse, abnormal hair growth. The new hair is typically fine, short and brittle, and may lack pigmentation. Baldness may be present by the time the subject is 25 years old. [1]

Vellus hair

Vellus hair is short, thin, slight-colored, and barely noticeable thin hair that develops on most of a person's body during childhood. Exceptions include the lips, the back of the ear, the palm of the hand, the sole of the foot, some external genital areas, the navel, and scar tissue. The density of hair – the number of hair follicles per area of skin – varies from person to person. Each strand of vellus hair is usually less than 2 mm long and the follicle is not connected to a sebaceous gland.

Terminal hair Thick, long, and dark, as compared with vellus hair

In humans, terminal hairs are thick, long and dark, as compared with vellus hair. During puberty, the increase in androgenic hormone levels causes vellus hair to be replaced with terminal hair in certain parts of the human body. These parts will have different levels of sensitivity to androgens, primarily of the testosterone family.

Contents

Hypotrichosis is a common feature of Hallermann–Streiff syndrome as well as others. It can also be used to describe the lack of hair growth due to chemotherapy.

Hallermann–Streiff syndrome is a congenital disorder that affects growth, cranial development, hair growth and dental development. There are fewer than 200 people with the syndrome worldwide. An organization supporting people with Hallermann–Streiff syndrome is the Germany-based "Schattenkinder e.V."

The opposite of hypotrichosis is hypertrichosis, where terminal hair (thick) grows in areas that would otherwise normally have vellus hair (thin), for example abnormally thick facial hair growth in women.

Hypertrichosis hair disease characterized by hair growth that is abnormal in quantity or location

Hypertrichosis is an abnormal amount of hair growth over the body. The two distinct types of hypertrichosis are generalized hypertrichosis, which occurs over the entire body, and localized hypertrichosis, which is restricted to a certain area. Hypertrichosis can be either congenital or acquired later in life. The excess growth of hair occurs in areas of the skin with the exception of androgen-dependent hair of the pubic area, face, and axillary regions.

Genetics

Genetic forms of localized autosomal recessive hypotrichosis include:

Type OMIM Gene Locus
LAH1 607903 DSG4 18q12
LAH2 604379 LIPH 3q27
LAH3 611452 P2RY5 13q14.12-q14.2

See also

Related Research Articles

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Trichoscopy

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The growth of human hair occurs everywhere on the body except for the soles of the feet, the lips, palms of the hands, some external genital areas, the navel, scar tissue, and, apart from eyelashes, the eyelids. Hair is a stratified squamous keratinized epithelium made of multi-layered flat cells whose rope-like filaments provide structure and strength to the hair shaft.

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References

  1. Dawber, Rodney P. R.; Van Neste, Dominique (2004). Hair and scalp disorders: common presenting signs, differential diagnosis and treatment (2nd ed.). Informa Health Care. pp. 53–54. ISBN   1-84184-193-5.