By Leonard C. Sperling
Diagnosing and treating hair issues is a vital part of either clinical and beauty dermatology perform. in view that it is a topic that's not often or basically superficially coated in the course of residency education, the pathologists and dermatopathologists who needs to evaluation specimens submitted with a scientific analysis of hair illness frequently discover a hole of their wisdom. The filing dermatologist usually needs to act as pathologist in addition to clinician. greater than only a ebook on hair disorder, An Atlas of Hair Pathology with medical Correlations bridges that hole. the 1st entire assessment of the microscopic pathology of hair sickness, this booklet serves as a primer, an atlas, and a reference. As a primer, it reports very uncomplicated details, together with hair anatomy and the "nuts and bolts" of processing and comparing specimens. As an atlas, it truly is wealthy in photos demonstrating uncomplicated and complex histologic gains of hair sickness. And, as a reference, it contains up to date details and a assessment of simple medical gains that offer a clinical-pathologic correlation. With 365 illustrations from the author's own selection of slides, An Atlas of Hair Pathology with medical Correlations is the main whole and "user-friendly" source on hair pathology on hand.
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Additional info for An Atlas of Hair Pathology with Clinical Correlations (The Encyclopedia of Visual Medicine Series)
2). 1 An example of normal hair density. A transverse section from the normal (uninvolved) scalp of an African American woman with traction alopecia. The section contains 22 follicles, slightly more than average. 1. A section from the zone of alopecia contains 11 follicles, a marked reduction compared to her normal scalp. Original magnification ×40 • Alopecia areata (very long-standing disease; an example of the biphasic pattern of hair loss) • Aplasia cutis congenita DECREASED HAIR DENSITY AT THE LEVEL OF THE LOWER DERMIS This is determined by counting only at this level.
4). 3, this specimen was taken from a ‘bald’ spot of alopecia areata, but normal or nearly normal numbers of follicles were present. In this case it was because of a massive conversion to telogen hairs. 5 Miniaturized hairs in a patient with temporal triangular alopecia. 02 mm. 5 (normal, perilesional skin). 12 mm. 7 Increased percentage of catagen/telogen hairs in a patient with telogen effluvium. The majority of hairs are terminal (large) hairs, but when all follicles are counted, 30% are in the catagen/telogen phase.
BIBLIOGRAPHY Headington J. Transverse microscopic anatomy of the human scalp. Arch Dermatol 1984; 120:449–56 Solomon A. The transversely sectioned scalp biopsy specimen: the technique and an algorithm for its use in the diagnosis of alopecia. Adv Dermatol 1994; 9:127–57 Sperling L. Hair density in African Americans. Arch Dermatol 1999; 135:656–8 Sperling LC. Hair anatomy for the clinician. J Am Acad Dermatol1991; 25:1–17 Sperling LC, Lupton GR The histopathology of non-scarring alopecia. J Cutan Pathol 1995; 22:97–114 Whiting DA.