Clínica médica en Marbella especializada en medicina basada en la evidencia: salud de la piel, medicina estética, medicina interna y medicina de la longevidad. Atención multilingüe en español, inglés, francés y ruso.
Avenida General López Domínguez, 2, 29603 Marbella (Málaga), España · +34 951 259 055 · hola@clinicavalorian.es
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Hair & nails
Caring for hair and scalp with a medical approach.
7 resources
Female hair loss is one of the most frequent reasons for consultation in the field of hair health. It can be due to multiple factors, including androgenetic alopecia, even with normal hormonal tests. An early diagnosis and a personalised treatment make it possible to slow hair loss and to significantly improve hair density.
Hair loss can have multiple causes, from androgenetic alopecia to nutritional deficits or stress. An early diagnosis through clinical examination, trichoscopy and complementary tests makes it possible to establish personalised treatments to preserve the hair and improve the quality of life.
Iron deficiency can favour diffuse hair loss, especially in the form of telogen effluvium. Supplementation is only indicated when there is a deficiency confirmed by a medical assessment and blood tests.
Hair loss under biologic treatment is real but rare and heterogeneous: telogen effluvium, paradoxical alopecia areata, inflammatory scalp psoriasis, infection or (rarely) scarring alopecia. The best-established signal concerns anti-TNF drugs (French pharmacovigilance: 52 cases, reporting odds ratio 3.0), rather a class effect. Dupilumab, on the contrary, can promote regrowth in some atopic patients. The right question is not 'should the biologic be stopped?' but 'which alopecia is it, is there another cause, and is the follicle threatened?'.
Separating evidence from popular beliefs.
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