Matoula clinic | skin & hair medical center
Under normal conditions, 50-100 hairs fall off daily. Hair loss we define the increased daily hair loss beyond normal.
There are many causes that can be implicated in a hair loss. Seasonal hair loss is one of the most common forms of hair loss with an increased incidence in autumn and spring.
Another form of hair loss is telogen trichorrhea, where very intense hair loss is observed, which worries the patient.
Factors that lead to such a condition are pregnancy, cessation of contraceptives, great loss of weight after a strict diet, a surgical operation, a serious injury or even a strong emotional charge (stress). Usually, the causative agent precedes 6-16 weeks and leads to a rapid transition of hairs from the anagen to the telogen phase.
The diagnosis of the form of hair loss will be based on the history, the clinical picture and the appropriate laboratory tests in order to exclude other organic causes.
Dr. Theoni Matoula, having specialized at the Charite University Hospital in Berlin in the Laboratory of Hair Physiology and the Department of Scalp Diseases, uses the method of trichoscopy and personalizing each case, it proceeds – if it deems it necessary – to perform a trichorigram, in order to better monitor the course of patients and to deal with the problem more effectively and quickly.
Clinical assessment by the doctor is carried out 3 days after shampooing the patient.
Trichoscopy is always the first necessary step for the diagnosis of hair loss and consequently its treatment. It is the dermatoscopy of hairs with the use of a polarized light dermatoscope.
Full recording of the condition of the hair follicles (number, quality, thickness of hairs) is a necessary measure to compare the effectiveness of the treatment.
The images captured are kept in the file of each patient for further monitoring and evaluation by the doctor.
The trichogram belongs to the semi-invasive methods of diagnosing alopecia and is an important examination in the differential diagnosis approach of non-scarring forms of alopecia. It allows the observation under the microscope of the morphology of the hair roots and the hair stem. This depicts all the hairs detached from a specific area of the scalp in various phases of their life cycle and records the corresponding percentages as well as other morphological findings. It is used to distinguish between different forms of alopecia (androgenetic type, telogen trichorrhea, etc.), but it also proves to be an extremely useful method in the study of the diseases of the strain (nodular trichorrhex, monilethrix, etc.).