Hair and Scalp Diseases

Total Page:16

File Type:pdf, Size:1020Kb

Hair and Scalp Diseases Template_7x10_Walsworth.indd Dermatology Hair and Scalp Diseases: Scalp and Hair about the book… Hair and Scalp Diseases: Medical, Surgical, and Cosmetic Treatments is a succinct and comprehensive guide examining the treatment of scalp and hair disorders, with a special concentration on ethnicity, hair type, and morphology of hair. Treatments that go beyond accepted US and international guidelines are incorporated, Hair and Scalp as the authors examine the use of off-label medications in case-sensitive scenarios. Packed with photographs of the scalp and hair that document the pathology, clinical cases, and treatment solutions, Hair and Scalp Diseases: Medical, Surgical, and Cosmetic Treatments • examines effective treatments that may differ from package inserts, allowing treatments for a wide range Diseases of patients with differing hair types • integrates ethnic-related variables into discussions of diagnosis, treatment, and management across all chapters Medical, Surgical, and • discusses approaches for patients with irritant and allergic contact dermatitis reactions of the scalp • lists ingredients and results of data from treatments, including: – mechanism of action Cosmetic Treatments – absorption characteristics Cosmetic and Surgical, Medical, – general pharmacology in cosmetic, non-prescription, and prescription agents • provides a full chapter devoted to photographic analysis of hair for clinical use, including: – camera type – varying angles – specific steps for an effective photo about the editors... AMY J. MCMICHAEL is Associate Professor and Dermatology Residency Program Director, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina. Dr. McMichael received her M.D. from the University of Pennsylvania, School of Medicine, Philadelphia, and her post-doctoral training consisted of an Internship in Internal Medicine, Thomas Jefferson University Hospital, Philadelphia Pennsylvania, Dermatology Residency, University of Michigan, Ann Arbor, and advanced training in Epidemiology, Wake Forest University School of Medicine. Her research focuses on hair and scalp disorders and skin disease of deeply pigmented skin. She is on the Editorial Board of Cosmetic Dermatology, is the CME editor of Skin & Aging, and has served as a consultant to the pharmaceutical industry. Dr. McMichael also sits on the board of directors for the Women’s Dermatology Society and is a Fellow of the American Academy Edited by Amy J. McMichael and Maria K. Hordinsky of Dermatology. Treatments MARIA K. HORDINSKY is Professor and Chair of the Department of Dermatology at the University of Minnesota, Minneapolis. She received her B.A. from Fordham University, New York, and her M.D. from the University of North Dakota, Grand Forks. She completed her first post-graduate year at Henry Ford Hospital, Detroit Michigan, and her dermatology residency at the University of Minnesota. Additional training in dermatology and clinical research was subsequently supported with a fellowship from the Dermatology Foundation and a National Research Service Award from the National Institutes of Health. Dr. Hordinsky is recognized for her expertise and research in hair diseases and the peripheral nervous system as it relates to hair follicle biology. McMichael McMichael Dr. Hordinsky is a recipient of the Leonard Tow Humanism in Medicine Award, sits on the board of directors Hordinsky of the American Dermatologic Association and is a Fellow of the American Academy of Dermatology. ■ Printed in the United States of America $+ +_d836551_cva.indd 1 nC nM nY nK 2/5/2008 11:04:12 AM McMichael_978-1574448221.indd 1 1/25/08 11:10:52 AM Hair and Scalp Diseases McMichael_978-1574448221_TP.indd1 1 1/25/08 11:01:25 AM McMichael PTR 01/23/08 SeriesPage BASIC AND CLINICAL DERMATOLOGY Series Editors ALAN R. SHALITA, M.D. Distinguished Teaching Professor and Chairman Department of Dermatology SUNY Downstate Medical Center Brooklyn, New York DAVID A. NORRIS, M.D. Director of Research Professor of Dermatology The University of Colorado Health Sciences Center Denver, Colorado 1. Cutaneous Investigation in Health and Disease: Noninvasive Methods and Instrumentation, edited by Jean-Luc Lévêque 2. Irritant Contact Dermatitis, edited by Edward M. Jackson and Ronald Goldner 3. Fundamentals of Dermatology: A Study Guide, Franklin S. Glickman and Alan R. Shalita 4. Aging Skin: Properties and Functional Changes, edited by Jean-Luc Lévêque and Pierre G. Agache 5. Retinoids: Progress in Research and Clinical Applications, edited by Maria A. Livrea and Lester Packer 6. Clinical Photomedicine, edited by Henry W. Lim and Nicholas A. Soter 7. Cutaneous Antifungal Agents: Selected Compounds in Clinical Practice and Development, edited by John W. Rippon and Robert A. Fromtling 8. Oxidative Stress in Dermatology, edited by Jürgen Fuchs and Lester Packer 9. Connective Tissue Diseases of the Skin, edited by Charles M. Lafi ére and Thomas Krieg 10. Epidermal Growth Factors and Cytokines, edited by Thomas A. Luger and Thomas Schwarz 11. Skin Changes and Diseases in Pregnancy, edited by Marwali Harahap and Robert C. Wallach 12. Fungal Disease: Biology, Immunology, and Diagnosis, edited by Paul H. Jacobs and Lexie Nall 13. Immunomodulatory and Cytotoxic Agents in Dermatology, edited by Charles J. McDonald 14. Cutaneous Infection and Therapy, edited by Raza Aly, Karl R. Beutner, and Howard I. Maibach 15. Tissue Augmentation in Clinical Practice: Procedures and Techniques, edited by Arnold William Klein 16. Psoriasis: Third Edition, Revised and Expanded, edited by Henry H. Roenigk, Jr., and Howard I. Maibach 17. Surgical Techniques for Cutaneous Scar Revision, edited by Marwali Harahap 18. Drug Therapy in Dermatology, edited by Larry E. Millikan 19. Scarless Wound Healing, edited by Hari G. Garg and Michael T. Longaker 20. Cosmetic Surgery: An Interdisciplinary Approach, edited by Rhoda S. Narins 21. Topical Absorption of Dermatological Products, edited by Robert L. Bronaugh and Howard I. Maibach 22. Glycolic Acid Peels, edited by Ronald Moy, Debra Luftman, and Lenore S. Kakita 23. Innovative Techniques in Skin Surgery, edited by Marwali Harahap 24. Safe Liposuction and Fat Transfer, edited by Rhoda S. Narins McMichael PTR 01/23/08 SeriesPage 25. Pyschocutaneous Medicine, edited by John Y. M. Koo and Chai Sue Lee 26. Skin, Hair, and Nails: Structure and Function, edited by Bo Forslind and Magnus Lindberg 27. Itch: Basic Mechanisms and Therapy, edited by Gil Yosipovitch, Malcolm W. Greaves, Alan B. Fleischer, and Francis McGlone 28. Photoaging, edited by Darrell S. Rigel, Robert A. Weiss, Henry W. Lim, and Jeffrey S. Dover 29. Vitiligo: Problems and Solutions, edited by Torello Lotti and Jana Hercogova 30. Photodamaged Skin, edited by David J. Goldberg 31. Ambulatory Phlebectomy, Second Edition, edited by Mitchel P. Goldman, Mihael Georgiev, and Stefano Ricci 32. Cutaneous Lymphomas, edited by Gunter Burg and Werner Kempf 33. Wound Healing, edited by Anna Falabella and Robert Kirsner 34. Phototherapy and Photochemotherapy for Skin Disease, Third Edition, Warwick L. Morison 35. Advanced Techniques in Dermatologic Surgery, edited by Mitchel P. Goldman and Robert A. Weiss 36. Tissue Augmentation in Clinical Practice, Second Edition, edited by Arnold W. Klein 37. Cellulite: Pathophysiology and Treatment, edited by Mitchel P. Goldman, Pier Antonio Bacci, Gustavo Leibaschoff, Doris Hexsel, and Fabrizio Angelini 38. Photodermatology, edited by Henry W. Lim, Herbert Hönigsmann, and John L. M. Hawk 39. Retinoids and Carotenoids in Dermatology, edited by Anders Vahlquist and Madeleine Duvic 40. Acne and Its Therapy, edited by Guy F. Webster and Anthony V. Rawlings 41. Hair and Scalp Diseases: Medical, Surgical, and Cosmetic Treatments, edited by Amy J. McMichael and Maria K. Hordinsky 42. Anesthesia and Analgesia in Dermatologic Surgery, edited by Marwali Harahap and Adel R. Abadir McMichael_978-1574448221_TP.indd1 1 1/25/08 11:01:25 AM Hair and Scalp Diseases Medical, Surgical, and Cosmetic Treatments Edited by Amy J. McMichael Wake Forest University School of Medicine Winston-Salem, North Carolina, USA Maria K. Hordinsky University of Minnesota Minneapolis, Minnesota, USA McMichael_978-1574448221_TP.indd2 2 1/25/08 11:01:26 AM McMichael PTR 01/21/08 FM_Copyrightpage Informa Healthcare USA, Inc. 52 Vanderbilt Avenue New York, NY 10017 © 2008 by Informa Healthcare USA, Inc. Informa Healthcare is an Informa business No claim to original U.S. Government works Printed in the United States of America on acid-free paper 10 9 8 7 6 5 4 3 2 1 International Standard Book Number-10: 1-57444-822-6 (Hardcover) International Standard Book Number-13: 978-1-57444-822-1 (Hardcover) This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequence of their use. No part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com
Recommended publications
  • Temporary Hair Removal by Low Fluence Photoepilation: Histological Study on Biopsies and Cultured Human Hair Follicles
    Lasers in Surgery and Medicine 40:520–528 (2008) Temporary Hair Removal by Low Fluence Photoepilation: Histological Study on Biopsies and Cultured Human Hair Follicles 1 2 3 4 Guido F. Roosen, MSc, Gillian E. Westgate, PhD, Mike Philpott, PhD, Paul J.M. Berretty, MD, PhD, 5 6 Tom (A.M.) Nuijs, PhD, * and Peter Bjerring, MD, PhD 1Philips Electronics Nederland, 1077 XV Amsterdam, The Netherlands 2Westgate Consultancy Ltd., Bedford MK 43 7QT, UK 3Queen Mary’s School of Medicine and Dentistry, London E1 2AT, UK 4Catharina Hospital, 5602 ZA Eindhoven, The Netherlands 5Philips Research, 5656 AE Eindhoven, The Netherlands 6Molholm Hospital, DK-7100 Vejle, Denmark Background and Objectives: We have recently shown INTRODUCTION that repeated low fluence photoepilation (LFP) with Clinical results of photoepilation treatments reported in intense pulsed light (IPL) leads to effective hair removal, the literature in general show variability in hair reduction which is fully reversible. Contrary to permanent hair effectiveness, both in rate and duration of clearance. Based removal treatments, LFP does not induce severe damage to on ‘‘selective photothermolysis’’ as the proposed mecha- the hair follicle. The purpose of the current study is to nism of action [1], this variability can partly be explained by investigate the impact of LFP on the structure and the the broad range of applied parameters such as fluence, physiology of the hair follicle. pulse width and spectrum of the light. Similarly, variability Study Design/Materials and Methods: Single pulses of between subjects such as skin type, hair color, and hair 2 IPL with a fluence of 9 J/cm and duration of 15 milliseconds follicle (HF) geometry also contributes to these differences were applied to one lower leg of 12 female subjects, followed [2–4].
    [Show full text]
  • UC Berkeley UC Berkeley Electronic Theses and Dissertations
    UC Berkeley UC Berkeley Electronic Theses and Dissertations Title Neuromechanics of Maneuverability: Sensory-Neural and Mechanical Processing for the Control of High-Speed Locomotion Permalink https://escholarship.org/uc/item/1b79g7xw Author Mongeau, Jean-Michel Publication Date 2013 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California Neuromechanics of Maneuverability: Sensory-Neural and Mechanical Processing for the Control of High-Speed Locomotion By Jean-Michel Mongeau A dissertation submitted in partial satisfaction of the requirements for the degree of Doctor of Philosophy in Biophysics in the Graduate Division of the University of California, Berkeley Committee in charge: Professor Robert J. Full, Chair Professor Noah J. Cowan Professor Ronald S. Fearing Professor Frederic E. Theunissen Spring 2013 Neuromechanics of Maneuverability: Sensory-Neural and Mechanical Processing for the Control of High-Speed Locomotion 2013 by Jean-Michel Mongeau Abstract Neuromechanics of Maneuverability: Sensory-Neural and Mechanical Processing for the Control of High-Speed Locomotion by Jean-Michel Mongeau Doctor of Philosophy in Biophysics University of California, Berkeley Professor Robert J. Full, Chair Maneuverability in animals is unparalleled when compared to the most maneuverable human- engineered mobile robot. Maneuverability arises in part from animals’ ability to integrate multimodal sensory information with an ongoing motor program while interacting within a spatiotemporally
    [Show full text]
  • Donation Needs Fluctuate Loc Products, Hair Wraps and Bonnets, Spray Bottles) Throughout the Year
    DONATION UPDATED MARCH 2020 NEEDS ONGOING NEEDS DONATION GUIDELINES General hygiene items (Lotion, face wash, toilet paper, YWCA only accepts new, unused, unopened and body wash, lip balm, bar soap, hand soap, tissues) unexpired donations. We do not have the space or staff capacity to sort through and store used Hair products (Shampoo, conditioner, haircut gift cards, items. We also ask that you donate full-sized items, hair ties, combs, brushes, leave-in conditioner, hair styling especially in regards to toiletries. Please call for products) the most up to date information regarding our donation policies and/or current needs. Hair care products for people of color (Most requested brands: Cantu, Shea Moisture, Carol’s Daughter, Maui Moisture, Form, Biosilk, Tgin, Miss Jessie’s, Aunt Jackie’s, DONATION DRIVES Taliah Waajid - Products: shampoos, conditioners, hair gel, Does your group or organization want to host a oils, shea butter, hair brushes, hair mousse, hair custard, donation drive? Our donation needs fluctuate loc products, hair wraps and bonnets, spray bottles) throughout the year. To ensure your hard work Menstural care items (Pads and liners) meets the needs of our clients, please contact us to find out what donation items are in limited Feminine hygiene items (Deodorant, razors, shaving supply at the time of your planned drive! cream, underwear) ACCEPTING DONATIONS Masculine hygiene items (Razors, shaving cream, deodorant, body spray, 3-in-1 products, hair styling Donations are accepted at our administrative products, underwear) offices located at405 Broadway on Monday through Thursday, 8:30 am to 5:30 pm and Friday, Dental hygiene items (Toothbrushes of all sizes, 8:30 am to 4:30 pm.
    [Show full text]
  • The Hairlessness Norm Extended: Reasons for and Predictors of Women’S Body Hair Removal at Different Body Sites
    Sex Roles (2008) 59:889–897 DOI 10.1007/s11199-008-9494-3 ORIGINAL ARTICLE The Hairlessness Norm Extended: Reasons for and Predictors of Women’s Body Hair Removal at Different Body Sites Marika Tiggemann & Suzanna Hodgson Published online: 18 June 2008 # Springer Science + Business Media, LLC 2008 Abstract The study aimed to explore the motivations prescription renders many women not only perpetually behind and predictors of the practice of body hair removal dissatisfied with their bodies (Rodin et al. 1985), but also among women. A sample of 235 Australian female highly motivated to alter their bodies to match the ideal, as undergraduate students completed questionnaires asking illustrated by the existence of multi-million dollar diet, about the frequency and reasons for body hair removal, as exercise, cosmetic and cosmetic surgery industries. well as measures of media exposure. It was confirmed that One particular aspect of the ideal that has received the vast majority (approximately 96%) regularly remove relatively little research attention or theorizing is the their leg and underarm hair, most frequently by shaving, prescription for smooth hairless skin. This is most likely and attribute this to femininity and attractiveness reasons. A because the practice of removing unwanted body hair is so sizeable proportion (60%) also removed at least some of normative in Western cultures as to go unremarked. By far their pubic hair, with 48% removing most or all of it. Here the majority of women in the USA (Basow 1991), UK the attributions were relatively more to sexual attractiveness (Toerien et al. 2005) and Australia (Tiggemann and Kenyon and self-enhancement.
    [Show full text]
  • Open Pritchard Dissertation 2018
    The Pennsylvania State University The Graduate School Department of Ecosystem Science and Management A LANDSCAPE OF FEAR: MEASURING NUTRITIONAL AND PSYCHOLOGICAL STRESS IN PREDATOR-PREY INTERACTIONS A Dissertation in Wildlife and Fisheries Science by Catharine Pritchard © 2018 Catharine Pritchard Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy December 2018 The dissertation of Catharine Pritchard was reviewed and approved* by the following: Tracy Langkilde Professor and Head of Biology, The Pennsylvania State University Dissertation Advisor C. Paola Ferreri Associate Professor of Fisheries Management, The Pennsylvania State University Chair of Committee Victoria Braithwaite Professor, The Pennsylvania State University Matthew Marshall Adjunct Assistant Professor of Wildlife Conservation, The Pennsylvania State University Michael Messina Professor and Head of Ecosystem Science and Management, The Pennsylvania State University *Signatures are on file in the Graduate School iii ABSTRACT Animals commonly respond to stimuli, including risk of predation, nutritional deficits, and disturbance through the stress response. The most commonly measured stress hormones, glucocorticoids (GCs), then generally become elevated, energy is diverted away from non- essential processes, and behavior is modified to facilitate short-term survival. Because GCs can be collected noninvasively, they are candidates for evaluating health in wild animals. However, few studies have tested critical assumptions about GCs and
    [Show full text]
  • IN THIS ISSUE General Assembly Judiciary Regulations Errata Special Documents General Notices
    Issue Date: May 26, 2017 Volume 44 • Issue 11 • Pages 513—574 IN THIS ISSUE General Assembly Judiciary Regulations Errata Special Documents General Notices Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before May 8, 2017, 5 p.m. Pursuant to State Government Article, §7-206, Annotated Code of Maryland, I hereby certify that this issue contains all documents required to be codified as of May 8, 2017. Gail S. Klakring Acting Administrator, Division of State Documents Office of the Secretary of State Information About the Maryland Register and COMAR MARYLAND REGISTER HOW TO RESEARCH REGULATIONS The Maryland Register is an official State publication published An Administrative History at the end of every COMAR chapter gives every other week throughout the year. A cumulative index is information about past changes to regulations. To determine if there have published quarterly. been any subsequent changes, check the ‘‘Cumulative Table of COMAR The Maryland Register is the temporary supplement to the Code of Regulations Adopted, Amended, or Repealed’’ which is found online at Maryland Regulations. Any change to the text of regulations http://www.dsd.state.md.us/PDF/CumulativeTable.pdf. This table lists the published in COMAR, whether by adoption, amendment, repeal, or regulations in numerical order, by their COMAR number, followed by the emergency action, must first be published in the Register. citation to the Maryland Register in which the change occurred. The The following information is also published regularly in the Maryland Register serves as a temporary supplement to COMAR, and the Register: two publications must always be used together.
    [Show full text]
  • 603 V7 Longdiffusercontrolfrizz the Head of a Woman with Wavy Brown
    603_v7_LongDiffuserControlFrizz The head of a woman with wavy brown hair appears in front of a background of white and gold with the Pantene logo. She slowly turns in a circle, revealing her wavy hairstyle, and smiles. ON SCREEN TEXT: HOW TO diffused curls PANTENE FEMALE NARRATOR: Want to take a break from your flat iron? Try a diffuser to control frizz when heat and humidity make styling a challenge. Here's a technique that will help. Cut to a white background. Various hairstyling tools appear on-screen, including a diffuser, hair dryer, and wide-tooth comb. ON SCREEN TEXT: TOOLS you will need Diffuser Hair Dryer Wide Tooth Comb The woman combs through her wet hair with a black wide-tooth comb. A black wide-tooth comb appears at the side of the screen. ON SCREEN TEXT: 1/COMB OUT WET HAIR with a wide tooth comb NARRATOR: Start with wet hair, and comb out with a wide-tooth comb or pick. This will get rid of tangles while minimizing the breakage and split ends brushing can cause. The woman squirts hair mousse and smooth serum into her hand and applies it into her hair with her fingers. ON SCREEN TEXT: 2/COMBINE curl mousse & smooth serum NARRATOR: Now combine no-crunch curl mousse and smooth serum in your hand and distribute it through your hair. ON SCREEN TEXT: 3/DISTRIBUTE THE MIXTURE through your hair NARRATOR: The mousse will help define the curls, while the serum helps contain any flyaways, and it's great for controlling frizz. The woman attaches a diffuser to a blow-dryer and lowers a section of her hair into the diffuser, drying it.
    [Show full text]
  • Skin of Color
    Dermatology Patient Education Skin of Color There are a variety of skin, hair and nail conditions that are common in people with skin of color such as African Americans, Asians, Latinos and Native Americans. Your dermatologist can help diagnose and treat these skin conditions. SKIN CONDITIONS Postinflammatory hyperpigmentation (PIH) This condition results in patches of darker skin as your skin heals after a cut or scrape, or when acne, eczema or other rashes clear. PIH often fades, but the darker the PIH, the longer fading can take. Your dermatologist can help restore your skin’s color more quickly. Prescription medicines containing retinoids or hydroquinone (a bleaching ingredient), and procedures such as chemical peels and microdermabrasion may help. Your dermatologist will also encourage you to wear sunscreen to avoid further darkening of the skin due to ultraviolet (UV) light exposure and prevent further PIH from developing. Treatment products available over-the-counter rarely help and can make PIH more noticeable. Melasma This common condition causes brown to gray-brown patches, usually on the face. It occurs most often in women who have Latina, African, or Asian ancestry. Men can get melasma, too. Melasma can also appear on other parts of the body that get lots of sun exposure, such as the forearms and neck. Melasma may be associated with pregnancy, birth control pills or estrogen replacement therapy. It may also be hereditary. Melasma can fade on its own, but it often recurs. Your dermatologist can provide prescription topical treatment to help the condition fade. Procedures including chemical peels and microdermabrasion can also help.
    [Show full text]
  • Objective Comparison of Shampoo Bars, Natural and Synthetic by Kerri Mixon Shampoo Bars and Synthetic Shampoos Have Different Effects on Hair
    Objective Comparison of Shampoo Bars, Natural and Synthetic By Kerri Mixon Shampoo bars and synthetic shampoos have different effects on hair. Learn which ingredients are commonly added to cold process soap to make shampoo bars. Understand the chemical and physical effects of natural and synthetic shampoos, how the effects vary by ethnic hair structure, and the added benefits of using a conditioner. This presentation focuses on hard scientific facts, not subjective perspectives or opinions. As a 16th generation professional soapmaker for 20 years, I thought I had shampoo bar soaps down cold. I thoughtfully formulated my shampoo soaps with 10–15% castor oil to yield a thicker, longer-lasting lather and chose herbal infusions beneficial to hair, such as henna, chamomile, sage, horsetail, and rosemary. I’d always heard hair products needed to have a lower pH, so I included small amounts of organic apple cider vinegar (which is acidic) to help lower the pH of my shampoo soaps and I included small amounts of citric acid (also acidic) to act as a mild chelating agent and pH buffer. My customers seem to enjoy my shampoo soap bars and regularly re-order my shampoo soap bars and my liquid soap shampoo, so I thought all was well. I know Lush and other companies make synthetic detergent bars marketed as solid shampoos, but detergents aren’t my thing—and I know my customers don’t want anything to do with synthetic detergents! I have a strong background in biology and chemistry, so when Leigh O’Donnell asked me to prepare a comparison of soap shampoo bars versus detergent shampoo bars, I jumped at the chance to prove soap as the superior champion, once and for all.
    [Show full text]
  • Etiology and Treatment of Hirsutism
    Central Journal of Endocrinology, Diabetes & Obesity Bringing Excellence in Open Access Review Article *Corresponding author Maria Palmetun Ekbäck, Pharmacology and Therapeutic Department, Örebro Region County Etiology and Treatment of Council, Dermatology Department, Örebro University Hospital, Örebro, Sweden, Email: maria.palmetun- Hirsutism [email protected] Submitted: 28 August 2017 Maria Palmetun Ekbäck* Accepted: 31 August 2017 Pharmacology and Therapeutic Department, Örebro Region County Council, Dermatology Published: 31 August 2017 Department, Örebro University Hospital, Örebro, Sweden ISSN: 2333-6692 Copyright Abstract © 2017 Ekbäck Hirsutism, excessive hair growth in women in a male pattern distribution, is an international OPEN ACCESS issue and approximately 5 to 15% of the general population of women is reported to be hirsute. It causes profound stress in women. As hirsutism is a symptom and not a disease it is Keywords important to find the underlying cause. Polycystic ovary syndrome is the most common cause but • Hirsutism other not so common endocrinology disorders must be excluded. Mild hirsutism could be seen • PCOS in a woman with normal menses and normal androgen levels (idiopathic hirsutism). Ferriman- • Impaired QoL Gallwey scale (F-G) is used for assessment of hairiness. The maximum score is 36 and a score • Ferriman-Gallwey scale over 8 is considered as a hirsuid state. The aim of the medical treatment is to correct the • Medical treatment hormonal imbalance and stop further progress. Oral contraceptives (OCP) are recommended • Photo-epilation as first line treatment. Spironolactone is the first choice if there is indication for antiandrogen therapy. Antiandrogens should be combined with an OCP as antiandrogens are teratogenic. Photo-epilation or electrolysis is mostly needed in order to reduce the amount of hair.
    [Show full text]
  • Elkriterier 95/0519
    Pretty Nasty – Phthalates in European Cosmetic Products Contents Executive summary 3 Actions needed 3 Abbreviations 4 Introduction 5 Materials and methods 5 Results 6 Reproductive toxicity of phthalates 11 Major pollutants and aggregate exposure 14 Regulation of phthalates in the EU 16 References 19 © November 2002 by Health Care Without Harm All rights reserved. Produced in Sweden. Contributors Joseph DiGangi, PhD Health Care Without Harm, USA Helena Norin Swedish Society for Nature Conservation, Sweden Acknowledgments Our thanks go to the following individuals who helped shape the content of this report or who served as reviewers: Charlotte Brody, Health Care Without Harm, USA; Lone Hummelshøj, Health Care Without Harm, Europe; Helen Lynn, Women’s Environmental Network, UK; Frida Olofsdotter, Swedish Society for Nature Conservation, Sweden; Per Rosander, Health Care Without Harm, Europe; Ted Schettler, MD, Science and Environmental Health Network, USA; Liz Sutton, Women’s Environmental Network, UK. Thanks also to Mera text & form for report design and production. Executive Summary Women’s Environmental Network, Swedish Society for Nature Conservation, and Health Care Without Harm contracted a certified Swedish analytical laboratory to test 34 name-brand cos- metic products for phthalates, a large family of synthetic chemicals linked to decreased fertility and reproductive defects. The laboratory found phthalates in nearly 80% of the products. More than half of the tested cosmetics contained more than one type of phthalate. Major brands included products by Boots, Christian Dior, L’Oreal, Procter & Gamble, Lever Fabergé, and Wella. None of the products listed phthalates as an ingredient on the label. In November 2002, the EU amended the Cosmetics Directive 76/768/EEC to order the removal of two phthalates in the very near future because of their reproductive toxicity (DEHP and DBP).
    [Show full text]
  • Hair Care Compositions Comprising
    (19) TZZ Z __T (11) EP 2 969 021 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61Q 5/06 (2006.01) A61Q 5/02 (2006.01) 07.08.2019 Bulletin 2019/32 A61Q 5/12 (2006.01) A61K 8/81 (2006.01) A61K 8/02 (2006.01) A61K 8/04 (2006.01) (21) Application number: 14764854.7 (86) International application number: (22) Date of filing: 14.03.2014 PCT/US2014/028334 (87) International publication number: WO 2014/144076 (18.09.2014 Gazette 2014/38) (54) HAIR CARE COMPOSITIONS COMPRISING POLYELECTROLYTE COMPLEXES FOR DURABLE BENEFITS HAARPFLEGEZUSAMMENSETZUNGEN MIT POLYELEKTROLYTKOMPLEXEN FÜR DAUERHAFTE VORTEILE COMPOSITIONS DE SOINS CAPILLAIRES COMPRENANT DES COMPLEXES DE POLYÉLECTROLYTES POUR DES BIENFAITS DE LONGUE DURÉE (84) Designated Contracting States: • COLACO, Allwyn AL AT BE BG CH CY CZ DE DK EE ES FI FR GB Morristown, New Jersey 07960 (US) GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR (74) Representative: Kutzenberger Wolff & Partner Waidmarkt 11 (30) Priority: 15.03.2013 US 201361792035 P 50676 Köln (DE) (43) Date of publication of application: (56) References cited: 20.01.2016 Bulletin 2016/03 WO-A1-2005/004821 WO-A1-2009/098638 WO-A1-2011/126978 WO-A1-2011/126978 (73) Proprietor: ISP Investments LLC WO-A1-2012/075274 WO-A2-01/85819 Wilmington, DE 19805 (US) WO-A2-2004/096895 WO-A2-2012/054243 WO-A2-2012/054243 WO-A2-2014/020081 (72) Inventors: US-A- 4 240 450 US-A- 4 299 817 • ZHOU, Yan US-A1- 2006 251 603 US-A1- 2011 180 092 Branchburg, New Jersey 07045 (US) US-A1- 2011 256 085 • RIGOLETTO, Raymond Jr.
    [Show full text]