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Alopecia

La alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia es la pérdida de cabello en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum zonas del cuerpo donde normalmente crece pelo. La alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia puede definirse como cicatricial o no cicatricial, localizada o difusa, congénita o adquirida, reversible o permanente, o confinada al AL Amyloidosis cuero cabelludo o universal; sin embargo, la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia suele clasificarse utilizando los LOS Neisseria 3 1os factores. Las etiologías de la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia suelen dividirse en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum trastornos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria que el folículo piloso es anormal o está dañado y aquellos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria que el folículo piloso es normal, pero el ciclo de crecimiento del cabello es anormal. Las presentaciones más comunes son la pérdida de cabello androgénica, la alopecia areata Alopecia Areata Loss of scalp and body hair involving microscopically inflammatory patchy areas. Alopecia, la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia por tracción, la tinea capitis Tinea capitis Ringworm of the scalp and associated hair mainly caused by species of Microsporum; Trichophyton; and Epidermophyton, which may occasionally involve the eyebrows and eyelashes. Dermatophytes/Tinea Infections y el efluvio telógeno. El diagnóstico se realiza a través de los LOS Neisseria antecedentes y el examen físico. El tratamiento depende del tipo y del potencial de rebrote.

Last updated: Dec 15, 2025

Editorial responsibility: Stanley Oiseth, Lindsay Jones, Evelin Maza

Descripción General

Fases normales del crecimiento del cabello

  1. Anágena:
    • Período de crecimiento activo
    • Aproximadamente el 90% de los LOS Neisseria folículos pilosos se encuentran en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la fase anágena.
    • Dura de 2–6 años
  2. Catágena:
    • Período transitorio de degeneración o regresión folicular
    • < 1% de todos los LOS Neisseria folículos pilosos están en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la fase catágena.
    • Dura 2–3 semanas
  3. Telógena:
    • Período de descanso
    • Aproximadamente el 10% de los LOS Neisseria folículos pilosos se encuentran en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la fase telógena.
    • Dura 2–3 meses
  4. Después de la fase telógena, los LOS Neisseria pelos se caen del cuero cabelludo a un ritmo de 50–100 pelos por día.
Etapas del crecimiento del cabello

Las 3 etapas del crecimiento del cabello:
La anágena representa los períodos de crecimiento activo; el 90% de todos los folículos pilosos se encuentran en la fase anágena. La catágena representa los períodos de degeneración y regresión del folículo piloso; < El 1% de todos los folículos pilosos se encuentran en la fase catágena. La telógena representa los períodos de descanso; < El 10% de todos los folículos pilosos se encuentran en la fase telógena. Tras la fase telógena, el cabello se cae de forma natural.

Imagen por Lecturio.

Clasificación o tipos de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia

Las clasificaciones más comunes de la pérdida de cabello son la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial, la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia no cicatricial y los LOS Neisseria trastornos capilares estructurales.

Cicatricial:

El folículo piloso sufre un daño irreversible, que se cura a través de la fibrosis Fibrosis Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury. Bronchiolitis Obliterans, lo que lleva a un cese del ciclo del cabello y a la pérdida permanente del mismo.

  • Secundaria: causada por una inflamación debida a un traumatismo físico o a una afección que no es una enfermedad primaria del cuero cabelludo (incluye tinea capitis Tinea capitis Ringworm of the scalp and associated hair mainly caused by species of Microsporum; Trichophyton; and Epidermophyton, which may occasionally involve the eyebrows and eyelashes. Dermatophytes/Tinea Infections, neoplasias, radioterapia y cicatrices quirúrgicas)
  • Primaria: causada por trastornos inflamatorios del cuero cabelludo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria que el folículo piloso es el objetivo principal de la destrucción, lo que provoca la pérdida permanente del cabello (dividida en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum 3 subtipos: linfocítica, neutrofílica y mixta)
Tabla: Subtipos de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial primaria
Linfocítica Neutrofílica Mixta
  • Alopecia mucinosa Alopecia Mucinosa A disease of the pilosebaceous unit, presenting clinically as grouped follicular papules or plaques with associated hair loss. It is caused by mucinous infiltration of tissues, and usually involving the scalp, face, and neck. It may be primary (idiopathic) or secondary to mycosis fungoides or reticulosis. Alopecia
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial centrífuga central
  • Lupus eritematoso discoide
  • Queratosis folicular espinosa decalvante
  • Liquen plano pilar
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia frontal Frontal The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the nasal bone and the cheek bone on each side of the face. Skull: Anatomy fibrosante
  • Celulitis disecante del cuero cabelludo
  • Foliculitis decalvante
  • Acné keloidalis nuchae
  • Acné necrótico
  • Dermatosis pustulosa erosiva del cuero cabelludo

No cicatricial:

La inflamación es leve o inexistente, por lo que el folículo piloso no está dañado, lo que da lugar a una pérdida no permanente de cabello (dividida en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum 3 subtipos: focal, con patrón y difusa).

Tabla: Subtipos de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia no cicatricial
Focal Con Patrón Difusa
  • Alopecia areata Alopecia Areata Loss of scalp and body hair involving microscopically inflammatory patchy areas. Alopecia
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia sifilítica
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia inducida por presión (postoperatoria)
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia temporal triangular
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia por tracción
  • Alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia androgénica en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria hombres (pérdida de cabello de patrón masculino)
  • Pérdida de cabello con patrón femenino
  • Tricotilomanía
  • Efluvio anágeno
  • Síndrome del anágeno suelto
  • Efluvio telógeno

Trastornos estructurales del cabello:

Los LOS Neisseria trastornos capilares estructurales son alteraciones hereditarias o adquiridas de la estructura del cabello que dan lugar a un cabello frágil o quebradizo, lo que provoca la rotura del cabello o la aparición de fallos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum su crecimiento.

Tabla: Trastornos estructurales del cabello
Heredados Adquiridos
  • Enfermedad de Menkes
  • Monilethrix Monilethrix Rare autosomal dominant disorder of the hair shaft. The clinical features of the disease include hypotrichosis, dry, and/or brittle hair, with varying degrees of alopecia. Mutations in the hair-specific keratin genes krthb1, krthb3, or krthb6 are associated with monilethrix. Autosomal recessive monilethrix with limited hypotrichosis are also known. Mutations in dsg4, liph, and p2ry5 protein genes are associated with the recessive form of monilethrix. Alopecia
  • Tricotiodistrofia
  • Tricorrexis invaginata
  • Tricorrexis nodosa
  • Tricoptilosis

Diagnóstico

Antecedentes:

  • Es importante determinar la duración , tasa de progresión, ubicación, patrón y extensión de la pérdida de cabello junto con los LOS Neisseria síntomas asociados del paciente, trastornos/eventos médicos, antecedentes familiares de pérdida de cabello, medicamentos y dieta/ingesta calórica.
  • Medicamentos asociados a la caída del cabello:
    • Amantadina
    • Amiodarona
    • Isotretinoína
    • Anticoagulantes
    • Ketoconazol
    • Anticonvulsivos
    • Litio
    • Captopril Captopril A potent and specific inhibitor of peptidyl-dipeptidase a. It blocks the conversion of angiotensin I to angiotensin II, a vasoconstrictor and important regulator of arterial blood pressure. Captopril acts to suppress the renin-angiotensin system and inhibits pressure responses to exogenous angiotensin. Hypertension Drugs
    • Penicilamina
    • Estatinas
    • Propranolol Propranolol A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for myocardial infarction; arrhythmia; angina pectoris; hypertension; hyperthyroidism; migraine; pheochromocytoma; and anxiety but adverse effects instigate replacement by newer drugs. Antiadrenergic Drugs
    • Cimetidina
    • Colchicina
  • Afecciones médicas asociadas a la caída del cabello:
    • Enfermedad grave, cirugía y/o estrés psicológico
    • Pérdida de peso significativa
    • Deficiencia crónica de hierro
    • Trastornos de la tiroides
    • Parto
    • Intoxicación por arsénico, mercurio o talio

Examen físico:

  • Inspección visual:
    • Presencia o ausencia de ostia folicular (ausencia = alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial)
    • Distribución y densidad del cabello
    • Patrón de pérdida de cabello
    • Uso de papel de color contrastado para visualizar completamente el cabello
    • Examinar otros lugares del cabello, además de las uñas, la piel y los LOS Neisseria dientes
  • Tricroscopia: dermatoscopia del cabello y del cuero cabelludo, que permite visualizar mejor la epidermis Epidermis The external, nonvascular layer of the skin. It is made up, from within outward, of five layers of epithelium: (1) basal layer (stratum basale epidermidis); (2) spinous layer (stratum spinosum epidermidis); (3) granular layer (stratum granulosum epidermidis); (4) clear layer (stratum lucidum epidermidis); and (5) horny layer (stratum corneum epidermidis). Skin: Structure and Functions, ostia foliculares, tallos del cabello, escamas,eritema y vasos sanguíneos
  • Prueba del tirón del cabello: identifica la pérdida activa del cabello agarrando y tirando ligeramente de 50-60 fibras capilares, la extracción fácil de > 6 fibras capilares sugiere una pérdida activa del cabello

Pruebas adicionales:

  • Microscopía: evaluación microscópica de las puntas de los LOS Neisseria pelos proximales, lo que es útil para determinar la fase de desprendimiento del pelo
  • Biopsia del cuero cabelludo: se utiliza en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las formas de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial para distinguir las causas inflamatorias de las no inflamatorias
  • Tricogramas y fototricogramas: utilizados para evaluar la pérdida de cabello no cicatricial y la respuesta al AL Amyloidosis tratamiento
  • Laboratorio:
    • Hormona estimulante de la tiroides (TSH, por sus siglas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum inglés) para evaluar los LOS Neisseria trastornos tiroideos
    • Hierro y ferritina en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum suero para evaluar la deficiencia de hierro
    • Prueba de reagina plasmática rápida para evaluar por sífilis

Alopecia Androgénica

Definición

La alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia androgénica es un tipo hereditario de pérdida de cabello que está mediada por la presencia del andrógeno dihidrotestosterona ( DHT DHT A potent androgenic metabolite of testosterone. It is produced by the action of the enzyme 3-oxo-5-alpha-steroid 4-dehydrogenase. Gonadal Hormones) y es el tipo más común de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia.

Pérdida de cabello con patrón masculino

  • Epidemiología:
    • Es la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia más común en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria hombres
    • La prevalencia aumenta con la edad.
    • Afecta al AL Amyloidosis 80% de los LOS Neisseria hombres a los LOS Neisseria 80 años
    • Prevalencia menor en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum chinos, asiáticos y afroamericanos que en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum caucásicos
  • Etiología:
    • Predisposición genética (rasgo dependiente de los LOS Neisseria andrógenos)
    • Relacionado con el cromosoma X
  • Fisiopatología:
    1. La testosterona es convertida en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum DHT DHT A potent androgenic metabolite of testosterone. It is produced by the action of the enzyme 3-oxo-5-alpha-steroid 4-dehydrogenase. Gonadal Hormones por la 5-alfa-reductasa.
    2. La DHT DHT A potent androgenic metabolite of testosterone. It is produced by the action of the enzyme 3-oxo-5-alpha-steroid 4-dehydrogenase. Gonadal Hormones se une al AL Amyloidosis receptor Receptor Receptors are proteins located either on the surface of or within a cell that can bind to signaling molecules known as ligands (e.g., hormones) and cause some type of response within the cell. Receptors de andrógenos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria folículos pilosos y activa los LOS Neisseria genes Genes A category of nucleic acid sequences that function as units of heredity and which code for the basic instructions for the development, reproduction, and maintenance of organisms. DNA Types and Structure que acortan la fase anágena.
    3. Conduce a la miniaturización folicular de los LOS Neisseria folículos pilosos del cuero cabelludo (una disminución progresiva de la relación entre los LOS Neisseria pelos terminales y los LOS Neisseria pelos vellosos más cortos y finos)
  • Presentación clínica:
    • La caída del cabello puede comenzar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cualquier momento después de la pubertad (normalmente a finales de los LOS Neisseria 20 años) y progresa a lo largo de la vida del paciente.
    • Retroceso de la línea media del cabello
    • El vértice presenta un adelgazamiento/calvicie difusa con el pelo frontal Frontal The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the nasal bone and the cheek bone on each side of the face. Skull: Anatomy intacto.
    • Conservación de la densidad capilar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la región occipital Occipital Part of the back and base of the cranium that encloses the foramen magnum. Skull: Anatomy
    • Reducción visible de la densidad capilar
  • Diagnóstico: basado en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria antecedentes y el examen físico
  • Tratamiento:
    • Terapia de 1ra línea:
      • Finasterida oral: Inhibidor de la 5-alfa-reductasa que inhibe la conversión de testosterona en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum DHT DHT A potent androgenic metabolite of testosterone. It is produced by the action of the enzyme 3-oxo-5-alpha-steroid 4-dehydrogenase. Gonadal Hormones e inhibe la miniaturización folicular
      • Minoxidil tópico: vasodilatador que aumenta la duración de la fase anágena, acortando la fase telógena y agrandando los LOS Neisseria folículos miniaturizados
    • Otras opciones:
      • Cirugía de trasplante capilar
      • Terapia de luz láser de baja intensidad
      • Uso cosmético de pelucas o postizos
Pérdida de cabello con patrón masculino

Alopecia androgénica, o pérdida de cabello con patrón masculino

Imagen: “Alopecia” por Welshsk. Licencia: CC BY 3.0

Pérdida de cabello con patrón femenino

  • Epidemiología:
    • Una condición común que afecta al AL Amyloidosis 19% de las mujeres caucásicas
    • Lo más común es que ocurra después de la menopausia
    • La prevalencia aumenta con la edad, y ⅓ de las mujeres están afectadas a los LOS Neisseria 70 años.
  • Etiología:
    • No se comprende completamente
    • El exceso de andrógenos puede desempeñar un papel.
    • Se sospecha de una predisposición genética.
  • Fisiopatología:
    • Transformación del folículo piloso terminal en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum un folículo piloso velloso más delgado mediante la miniaturización folicular
    • Acortamiento de la fase anágena y alargamiento de la fase telógena
  • Presentación Clínica:
    • Adelgazamiento difuso del cabello
    • La línea capilar frontal Frontal The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the nasal bone and the cheek bone on each side of the face. Skull: Anatomy está adelgazada pero conservada.
    • Ensanchamiento progresivo del cabello de la parte media que lleva al AL Amyloidosis adelgazamiento del cabello de la coronilla
    • Conservación de la densidad capilar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la región occipital Occipital Part of the back and base of the cranium that encloses the foramen magnum. Skull: Anatomy
  • Diagnóstico:
    • Basado en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria antecedentes y el examen físico
    • Laboratorio: El nivel de testosterona libre y total y el nivel de sulfato de dehidroepiandrosterona (DHEAS) pueden comprobar un estado hiperandrogénico subyacente.
  • Tratamiento:
    • Tratamiento de 1ra línea: minoxidil tópico (vasodilatador que aumenta la duración de la fase anágena, acortando la telógena y agrandando los LOS Neisseria folículos miniaturizados)
    • Tratamiento de 2da línea:
      • Espironolactona: antagonista de la aldosterona que inhibe competitivamente los LOS Neisseria receptores de andrógenos e inhibe la síntesis de andrógenos
      • Finasteride Finasteride An orally active 3-oxo-5-alpha-steroid 4-dehydrogenase inhibitor. It is used as a surgical alternative for treatment of benign prostatic hyperplasia. Androgens and Antiandrogens: inhibidor de la 5-alfa-reductasa que inhibe la conversión de testosterona a DHT DHT A potent androgenic metabolite of testosterone. It is produced by the action of the enzyme 3-oxo-5-alpha-steroid 4-dehydrogenase. Gonadal Hormones e inhibe la miniaturización folicular
    • Otras opciones:
      • Uso de pelucas o camuflaje cosmético
      • Cirugía de trasplante capilar

Alopecia Areata

Definición

La alopecia areata Alopecia Areata Loss of scalp and body hair involving microscopically inflammatory patchy areas. Alopecia es un trastorno autoinmune crónico y recidivante en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el que el sistema inmune del organismo se dirige a los LOS Neisseria folículos pilosos anágenos y provoca una caída no cicatricial del cabello.

Epidemiología

  • Se da en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el 1% de la población
  • El riesgo a lo largo de la vida es de aproximadamente un 2%.
  • Ocurre en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum tasas similares en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres y mujeres
  • La edad media de aparición es de aproximadamente 30 años.

Etiología

  • Enfermedad autoinmune, en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la que los LOS Neisseria folículos pilosos son el objetivo y pasan prematuramente de la fase de crecimiento anágena a las fases catágena y telógena
  • La predisposición genética también influye.
  • Trastornos asociados:
    • Otras enfermedades autoinmunes: vitíligo, lupus, psoriasis Psoriasis Psoriasis is a common T-cell-mediated inflammatory skin condition. The etiology is unknown, but is thought to be due to genetic inheritance and environmental triggers. There are 4 major subtypes, with the most common form being chronic plaque psoriasis. Psoriasis, esclerodermia, tiroiditis, enfermedad celíaca, dermatitis Dermatitis Any inflammation of the skin. Atopic Dermatitis (Eczema) atópica, rinitis alérgica
    • Trastornos genéticos: Síndrome de Down
    • Trastornos psicosociales: estrés, ansiedad, trastornos del estado de ánimo

Presentación clínica

  • Aparición súbita de la caída del cabello en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum pocas semanas que puede recaer a lo largo de la vida del paciente
  • Normalmente es asintomático y no se asocia a dolor Dolor Inflammation, pero ocasionalmente puede presentarse con prurito o ardor que precede a la pérdida de pelo
  • La pérdida de cabello se produce en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum parches circulares, lisos y bien delimitados.
  • Suele afectar al AL Amyloidosis cuero cabelludo, pero también puede afectar las cejas, pestañas y barba
  • Pelos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum punto de exclamación: pelos cortos y rotos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria que el extremo proximal es más estrecho que el distal
  • Anomalías en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las uñas: hendiduras, fisuras, manchas rojas o separación del lecho ungueal
  • Tipos/patrones de distribución:
    • Areata: áreas de pérdida de cabello en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de parches
    • Ofiasis: pérdida de cabello localizada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la parte posterior y lateral del cuero cabelludo
    • Sisaifo: preservación de los LOS Neisseria lados y la parte posterior del cuero cabelludo
    • Extenso: afecta a más del 50% del cuero cabelludo
    • Totalis: pérdida total del cabello del cuero cabelludo
    • Universalis: pérdida total del vello corporal

Diagnóstico

  • Examen físico: áreas lisas, redondas o en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum parches de pérdida de cabello no cicatrizante con pelos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de signo de exclamación (patognomónico para el tipo de alopecia areata Alopecia Areata Loss of scalp and body hair involving microscopically inflammatory patchy areas. Alopecia)
  • Prueba de tirón del cabello: confirma la pérdida activa del cabello cuando se extraen fácilmente más de 6 cabellos al AL Amyloidosis tirar de 50 a 60

Tratamiento

  • ½ de los LOS Neisseria pacientes experimentarán un rebrote espontáneo del cabello en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum menos de un año.
  • Terapia de 1ra línea:
    • Pérdida limitada de cabello (< 3 parches o < 3 cm):
      • Inyecciones intralesionales de corticoides
      • Corticoides tópicos potentes si no se toleran las inyecciones
    • Pérdida severa del cabello ( alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia totalis/universalis):
      • Terapias sistémicas (p. ej., inhibidores orales de la cinasa Janus, glucocorticoides sistémicos)
      • Inmunoterapia tópica
      • Corticoides locales
      • Glucocorticoides sistémicos
  • Tratamiento de segunda línea: antralina tópica (un agente irritante utilizado como complemento de los LOS Neisseria tratamientos de primera línea)
  • Enfermedad refractaria:
    • Azatioprina
    • Inhibidores de la cinasa Jano
    • Metotrexato
    • Sulfasalazina

Pronóstico

  • Casos leves: El 80% resuelve espontáneamente.
  • Casos graves: permanecen crónicos o recaen después del tratamiento

Alopecia por Tracción

Definición

La alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia por tracción es un tipo de pérdida de cabello no cicatricial causada por una tensión repetitiva o prolongada sobre el cabello.

Epidemiología

  • Mayor prevalencia en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres que en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres debido a los LOS Neisseria peinados de tracción
  • Más comúnmente asociado a las mujeres afroamericanas con pelo de textura afro debido a los LOS Neisseria tipos de peinado

Etiología

  • Tracción a largo plazo asociada a cualquier peinado que provoque tensión en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el folículo (e.g., tejidos, trenzas, moños apretados y/o colas de caballo) o a un tocado apretado (e.g., gorras, sombreros).
  • Puede ser más grave en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cabellos tratados químicamente

Fisiopatología

  • Tracción sobre el cabello → inflamación perifolicular → miniaturización folicular
  • Inicialmente, la alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia por tracción no es cicatricial, pero la tracción persistente conduce a la cicatrización y al AL Amyloidosis daño irreversible.
  • Los LOS Neisseria altos niveles de interleucina (IL) 1-alfa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el sebo del cuero cabelludo apoyan la teoría inflamatoria.

Presentación clínica

  • Las primeras etapas:
    • Pérdida de cabello ausente/limitada con una ligera disminución de la densidad capilar
    • Foliculitis por tracción que se presenta como eritema perifolicular y pústulas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el cuero cabelludo
  • Etapas tardías:
    • Disminución de la densidad capilar → parches completamente libres de pelo
    • Signo del flequillo: pelo fino y residual retenido en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el margen de la línea capilar anterior con pérdida de pelo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la parte posterior
    • Escamas blancas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de cilindros firmes que envuelven el tallo del pelo, que se desprenden fácilmente
Signo del flequillo y alopecia por tracción

Alopecia por tracción en una mujer afroamericana debido a peinados de tracción

Imagen: “Figure 6” por Xu, Liu, and Senna. Licencia: CC BY 4.0

Diagnóstico y Tratamiento

  • El diagnóstico se basa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la evaluación clínica.
  • Tratamiento de las primeras etapas:
    • Cese de los LOS Neisseria peinados de tracción
    • Minoxidil tópico para incentivar el crecimiento de cabello
    • Corticoides locales si hay signos de inflamación
    • La tetraciclina oral también se utiliza por sus efectos antiinflamatorios.
  • Tratamiento de los LOS Neisseria estadios tardíos:
    • Minoxidil tópico para intentar que vuelva a crecer el pelo, aunque es poco probable que vuelva a crecer si la inflamación ya ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia provocado cicatrices
    • Cirugía de trasplante capilar
    • Camuflaje cosmético con pelucas y postizos

Pronóstico

  • Etapas tempranas: rebrote espontáneo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum 3 meses
  • Etapas tardías: suele presentar cicatrices y puede tener una pérdida de cabello permanente

Alopecia Relacionada con Tinea Capitis

Definición

La tinea capitis Tinea capitis Ringworm of the scalp and associated hair mainly caused by species of Microsporum; Trichophyton; and Epidermophyton, which may occasionally involve the eyebrows and eyelashes. Dermatophytes/Tinea Infections es una infección fúngica del cuero cabelludo que suele presentarse como prurito y descamación, y que da lugar a una alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia cicatricial secundaria.

Epidemiología

  • Común en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria niños
  • Más común en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum niños afroamericanos

Etiología

  • 3 formas de infección por dermatofitos:
    1. Endotrix:
      • Las esporas de los LOS Neisseria hongos están dentro del tallo del cabello.
      • Causado por Trichophyton Trichophyton A mitosporic fungal genus and an anamorphic form of arthroderma. Various species attack the skin, nails, and hair. Dermatophytes/Tinea Infections tonsurans
      • Se presenta como parches de pérdida de cabello con puntos negros (extremos distales de los LOS Neisseria cabellos que se rompen en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el cuero cabelludo)
    2. Ectotrix:
      • Las esporas de los LOS Neisseria hongos rodean el exterior del tallo del cabello.
      • Causado por Microsporum Microsporum A mitosporic oxygenales fungal genus causing various diseases of the skin and hair. The species microsporum canis produces tinea capitis and tinea corporis, which usually are acquired from domestic cats and dogs. Teleomorphs includes arthroderma (nannizzia). Dermatophytes/Tinea Infections canis
      • Se presenta como parches escamosos de pérdida de cabello que se agrandan centrífugamente con el tiempo y tienen eritema asociado
    3. Favus:
      • Las hifas fúngicas y los LOS Neisseria espacios de aire se encuentran dentro de los LOS Neisseria tallos del cabello.
      • Causado por Trichophyton Trichophyton A mitosporic fungal genus and an anamorphic form of arthroderma. Various species attack the skin, nails, and hair. Dermatophytes/Tinea Infections schoenleinii
      • Se presenta como una pérdida severa de cabello con costras amarillas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de copa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el cuero cabelludo, llamadas ‘scutula’, que rodean los LOS Neisseria folículos pilosos infectados
  • Se propaga por contacto de persona a persona, por vectores animales y por fómites (e.g., peines, cepillos, fundas de almohada o sombreros)

Fisiopatología

  1. Los LOS Neisseria dermatofitos entran en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum contacto con el estrato córneo del cuero cabelludo.
  2. Las glicoproteínas y queratinasas producidas por el hongo permiten a los LOS Neisseria dermatofitos invadir la piel y el cabello, rompiendo la queratina.
  3. La infección se extiende a la epidermis Epidermis The external, nonvascular layer of the skin. It is made up, from within outward, of five layers of epithelium: (1) basal layer (stratum basale epidermidis); (2) spinous layer (stratum spinosum epidermidis); (3) granular layer (stratum granulosum epidermidis); (4) clear layer (stratum lucidum epidermidis); and (5) horny layer (stratum corneum epidermidis). Skin: Structure and Functions y baja por el folículo piloso.

Presentación clínica

  • Suele presentarse como manchas escamosas pruriginosas con alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia y/o rotura del tallo piloso (puntos negros)
  • Puede desarrollar linfadenopatía postauricular
  • Querion:
    • Forma grave debida a una intensa respuesta inmune inflamatoria
    • Se desarrollan placas inflamatorias con pústulas, costras gruesas y/o drenaje de pus.
    • El dolor Dolor Inflammation y la sensibilidad están presentes.
  • Favus:
    • Los LOS Neisseria folículos eritematosos evolucionan hacia costras amarillas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de copa que se unen para formar masas adherentes.
    • Se desarrolla una alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia severa y extensa.
    • Asociada a un olor desagradable

Diagnóstico

  • Examen físico:
    • Parches con pérdida de pelo, descamación o puntos negros en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum un niño
    • La luz de Wood muestra la presencia de esporas.
  • Dermatoscopia:
    • Pelos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum forma de C/ en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum tornillo
    • Puntos negros con infección por Trichophyton Trichophyton A mitosporic fungal genus and an anamorphic form of arthroderma. Various species attack the skin, nails, and hair. Dermatophytes/Tinea Infections tonsurans
    • Escamas amarillas
  • La preparación con hidróxido de potasio (KOH) muestra la presencia de hifas ramificadas.
  • Los LOS Neisseria cultivos fúngicos se utilizan para confirmar los LOS Neisseria casos con alta sospecha pero con una preparación KOH negativa.

Tratamiento

  • La terapia de 1ra línea son los LOS Neisseria antifúngicos sistémicos:
    • Griseofulvina oral
    • Terbinafina oral
  • Alternativas:
    • Fluconazol oral
    • Itraconazol oral
  • Adjuntos:
    • Champú con propiedades antifúngicas
    • Cuidado de no contagiar a otros, tratamiento para la familia si el contagio ya se ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia producido

Pronóstico

  • El cabello suele volver a crecer después del tratamiento.
  • Si hay cicatrización, el paciente puede tener un daño permanente, lo que es particularmente probable en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las infecciones por querion y favus.

Efluvio Telógeno

Definición

El efluvio telógeno se define como la transición prematura de los LOS Neisseria folículos pilosos al AL Amyloidosis estado de reposo (telógeno) después de un factor de estrés fisiológico o psicológico, lo que provoca una alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia difusa y no cicatricial.

Epidemiología

  • No hay predilección por ninguna raza o grupo étnico
  • Las mujeres se ven más afectadas que los LOS Neisseria hombres.

Etiología

  • Factor de estrés psicosocial (e.g., la muerte de un familiar, la pérdida de un trabajo)
  • Pérdida de peso extrema
  • Enfermedad aguda grave
  • Anestesia general
  • Parto
  • Hipo e hipertiroidismo
  • Deficiencia de hierro
  • Inicio o interrupción de un anticonceptivo hormonal
  • Medicamentos (e.g., litio, valproato, fluoxetina, heparina, betabloqueantes, inhibidores de la enzima convertidora de la angiotensina (IECA), retinoides, medicamentos antituberculosos, antirretrovirales, andrógenos)

Fisiopatología

  • No se comprende completamente
  • Etiología/estrés subyacente → lesión del bulbo anágeno → cambios en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el ciclo folicular, como la liberación inmediata y/o retardada del anágeno

Presentación clínica

  • Reducción difusa de la densidad del cabello del cuero cabelludo que puede ser más notable en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las zonas bitemporal, frontal Frontal The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the nasal bone and the cheek bone on each side of the face. Skull: Anatomy y del vértice
  • La pérdida diaria de cabello aumenta a 100–300 hebras de cabello.
  • Aguda:
    • Se desarrolla entre 13 meses después de desencadenarse
    • Dura de 24 meses
    • Reversible
  • Crónica:
    • Idiopática o sin desencadenante apreciable
    • Dura más de 6 meses
Pérdida de cabello de patrón femenino

Efluvio telógeno crónico:
Obsérvese la típica recesión temporal. Por lo demás, la densidad del cabello es normal.

Imagen: “CTE” por Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, USA. Licencia: CC BY 3.0

Diagnóstico

  • Examen físico: un pequeño bulbo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el extremo proximal de los LOS Neisseria pelos caídos, con más del 10% de los LOS Neisseria pelos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum fase telógena
  • Prueba de tirón de pelo positiva

Tratamiento

  • Terapia de 1ra línea:
    • Eliminación o tratamiento de cualquier causa reversible
    • Medidas cosméticas
    • Apoyo psicológico
  • Terapia coadyuvante:
    • Minoxidil tópico: favorece el crecimiento del cabello
    • Suplemento de hierro para tratar una posible anemia Anemia Anemia is a condition in which individuals have low Hb levels, which can arise from various causes. Anemia is accompanied by a reduced number of RBCs and may manifest with fatigue, shortness of breath, pallor, and weakness. Subtypes are classified by the size of RBCs, chronicity, and etiology. Anemia: Overview and Types ferropénica

Pronóstico

  • Casos agudos: crecimiento espontáneo generalmente dentro de 6 meses
  • Casos crónicos: pérdida de cabello persistente durante > 6 meses

Diagnóstico Diferencial

Las siguientes son otras condiciones que pueden causar alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia:

  • Tricotilomanía: un tipo de alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia con patrón, no cicatrizante, debida a tirarse del pelo deliberadamente, arrancarlo o retorcerlo para aliviar el estrés o la ansiedad. Más común en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres jóvenes con estrés familiar o psicosocial. Se caracteriza por una amplia variación en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las longitudes de los LOS Neisseria cabellos remanentes. La tricotilomanía suele afectar al AL Amyloidosis cuero cabelludo, las cejas y las pestañas.
  • Nevus Nevus Nevi (singular nevus), also known as “moles,” are benign neoplasms of the skin. Nevus is a non-specific medical term because it encompasses both congenital and acquired lesions, hyper- and hypopigmented lesions, and raised or flat lesions. Nevus/Nevi sebáceo: placa esporádica, congénita y sin pelo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la cara o el cuero cabelludo debido al AL Amyloidosis crecimiento benigno de un exceso de glándulas sebáceas que provoca la pérdida de folículos pilosos en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum esa zona. La placa suele ser única, circular, lineal o de forma irregular. La intervención quirúrgica puede ser necesaria debido al AL Amyloidosis ligero potencial maligno.
  • Sífilis secundaria: enfermedad infecciosa de transmisión sexual causada por la bacteria Bacteria Bacteria are prokaryotic single-celled microorganisms that are metabolically active and divide by binary fission. Some of these organisms play a significant role in the pathogenesis of diseases. Bacteriology Treponema pallidum Treponema pallidum The causative agent of venereal and non-venereal syphilis as well as yaws. Treponema. Si no se trata, la sífilis primaria se convierte en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum sífilis secundaria aproximadamente 4–10 semanas después de la infección primaria. Los LOS Neisseria síntomas incluyen fiebre, malestar, linfadenopatía, alopecia Alopecia Alopecia is the loss of hair in areas anywhere on the body where hair normally grows. Alopecia may be defined as scarring or non-scarring, localized or diffuse, congenital or acquired, reversible or permanent, or confined to the scalp or universal; however, alopecia is usually classified using the 1st 3 factors. Alopecia apolillada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum parches, confusión, condiloma lata y una erupción papuloescamosa generalizada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum palmas y plantas.
  • Dermatitis Dermatitis Any inflammation of the skin. Atopic Dermatitis (Eczema) seborreica: una dermatosis papuloescamosa crónica común con formas infantiles y adultas diferenciadas. Se presenta como placas eritematosas, bien delimitadas, con escamas amarillas grasientas, en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum zonas con pelo y piel grasa, como el cuero cabelludo, la cara, el pecho y la espalda. La dermatitis Dermatitis Any inflammation of the skin. Atopic Dermatitis (Eczema) seborreica impide el crecimiento de pelo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la zona afectada.

Referencias

  1. Levinbook, W.S. (2024). Alopecia (Hair Loss; Baldness). MSD Manuals. Retrieved on July 11, 2025, from https://www.msdmanuals.com/professional/dermatologic-disorders/hair-disorders/alopecia?query=alopecia
  2. Adil, A., & Godwin, M. (2017). The effectiveness of treatments for androgenetic alopecia: A systematic review and meta-analysis. Journal of the American Academy of Dermatology77(1), 136–141.e5. https://doi.org/10.1016/j.jaad.2017.02.054
  3. Messenger, A.G. (2025). Alopecia areata: Clinical manifestations and diagnosis. UpToDate. Retrieved July 10, 2025, from
    https://www.uptodate.com/contents/alopecia-areata-clinical-manifestations-and-diagnosis
  4. McMichael, A. (2025). Female pattern hair loss (androgenetic alopecia in females): Pathogenesis, clinical features, and diagnosis. UpToDate. Retrieved July 11, 2025, from https://www.uptodate.com/contents/female-pattern-hair-loss-androgenetic-alopecia-in-females-pathogenesis-clinical-features-and-diagnosis
  5. Khumalo, N.P. (2023) Traction alopecia. UpToDate. Retrieved July 11, 2025, from https://www.uptodate.com/contents/traction-alopecia
  6. Sun, Y., & Li, Q., et al. (2025). Janus kinase inhibitors for alopecia areata: A review of clinical data. Frontiers in Immunology. https://doi.org/10.3389/fimmu.2025.1577115

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