Histopathology of non‐scarring alopecia
Histopathology of non‐scarring alopecia
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非疤痕性脱发的组织病理学
DOI:
10.1111/j.1600-0560.1995.tb01391.x
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发表时间:
1995
影响因子:
1.7
通讯作者:
G. Lupton
中科院分区:
文献类型:
--
作者:
L. Sperling;G. Lupton
The lollowitig disett.s.sion loett.ses on llie histopathologic iitiditigs in non-seaiiing lorm.s of alopeeia. Exehided IVom this clisenssion ate Ibrtns ol hair loss resulting IVom dist)rders of the hair shalt, whieh eattse hair fragility atid breakage. Hair shaft disoi ders are tistially diagnosed by examination ol elipped hair shalts, and histopalhologie examination is seldom pursued. Searritig alopeeia resttlts in pertnanent hair loss as fbllieles are destroyed at:id replaced by libroits lissvte. Eoss of hair in noti-searring alopeeia is often reversible, atid usually oeeurs by one of IVnnmeehanistiis. The first is telogen effltivitim, in whieh greater that normal ntttiibeis of hairs are preeipitated into the telogen phase, restrltitig iti excessive shedding of telogen hairs. A classic example is post-partuni telogeti efllrtviutii, oecurritig abcntt three months after ati affeeted woman delivers a haby. The seeotid tnechatiism for hair loss is anagen elTlttvitim (also called anagen delltivinm), eatised by an abrnpt hall in ihe metabolic machinery of actively gixnving anagen hairs. This lestilts in the shedding ol tiumerous abnormal ("dystrophic") anagen hairs. The classic example ol anagen eflluvium is hair loss alter raclialion therapy or chemotherapy. In many cases of tion-scarring alopecia, excessive shedding of both, telogen hairs and anagen hairs occttrs, bhirring the distinction between telogen el'lltivium and anagen ellltivitnn.