hair loss, usually described
Telogen Effluvium Hair Loss <<Back to Index Telogen Effluvium Hair Loss It is normal to lose up to about 100 hairs a day on one's comb, brush, in the sink or on the pillow. This is the result of the normal hair growth cycle. Hairs will grow for a few years, then rest for a few months, shed, and regrow. Telogen is the name for the resting stage of the hair growth cycle. A telogen effluvium is when some stress causes hair roots to be pushed prematurely into the resting state. Telogen effluvium can be acute or chronic. If there is some "shock to the system", as many as 70% of the scalp hairs are then shed in large numbers about 2 months after the "shock". This sudden increase in hair loss, usually described as the hair coming out in handfuls, is acute telogen effluvium. This is a different problem than gradual genetic hair thinning. However, this can be seen in the less common chronic telogen effluvium, only after a significant amount of hair has already been lost. A considerable number of different causes for telogen effluvium exist. Among the common causes are high fevers, childbirth, severe infections, severe chronic illness, severe psychological stress, major surgery or illnesses, over or under active thyroid gland, crash diets with inadequate protein, and a variety of medications. Most hair loss from medications is this type and causes include retinoids, beta blockers, calcium channel blockers, antidepressants, and NSAIDS (including ibuprofen). Typically, abrupt diffuse hair loss is noticed several weeks to several months after the incident has initiated the biologic program for hair loss. While the most often noticed hair loss occurs on the scalp, some individuals may also notice hair loss elsewhere on the body. Significant hair shedding usually occurs when shampooing, combing, or even when gently manipulating the hair. Shedding usually slowly decreases over 6 to 8 months once the cause for the hair loss is no longer present. As some of the causes represent ongoing problems, it is important to determine the likely cause when possible and take appropriate measures to prevent continued hair loss. These shed or loose hairs all have club-shaped "roots" typical of resting, telogen hairs and may be easily identified under the microscope. After shampooing, the bulk of existing loose hair has often been shed and loose hair may not again appear until additional hairs enter this resting phase. When there is any doubt about the presence of this condition, a small piece of skin may be taken from the scalp as a biopsy to be examined under the microscope. In this way, the condition of the hair follicles, the tissues that produce the hair, may be determined. No treatment is needed for most cases of telogen effluvium. Remember that the hairs fall out when a new hair growing beneath it pushes it out. Thus with this type of hair loss, hair falling out is a sign of hair regrowth. As the new hair first comes up through the scalp and pushes out the dead hair a fine fringe of new hair is often evident along the forehead hairline. The most important issue in telogen effluvium is to determine if an underlying cause for the problem is present. Blood tests may need to be done if the cause is not obvious, such as mild iron deficiency. If the telogen effluvium is caused by a medication, the medication needs to be stopped. When the cause of the hair loss is something like giving birth, a transient illness, or other self-limited problem the induced telogen effluvium is also usually self-limited and requires no treatment. Chronic telogen effluvium is recently recognized and not uncommon. It often occurs in women who previously had very thick hair in their teens and twenties and still have an apparently normal head of hair to a casual observer. It affects the entire scalp with no obvious cause apparent. It usually affects women of 30 to 60 years of age, starts suddenly and has a tendency to fluctuate for a period of years. The degree of shedding is usually severe in the early stages and the hair may come out in handfuls. It does not cause complete baldness and does appear to be self-limiting in the long run. SEARCH THE DATABASE All Words Any Word <<Back to Index The medical information provided in this site is for educational purposes only and is the property of the American Osteopathic College of Dermatology. It is not intended nor implied to be a substitute for professional medical advice and shall not create a physician - patient relationship. If you have a specific question or concern about a skin lesion or disease, please consult a dermatologist . Any use, re-creation, dissemination, forwarding or copying of this information is strictly prohibited unless expressed written permission is given by the American Osteopathic College of Dermatology. [ Find a D.O. Dermatologist ] [ Dermatology Links ] [ Dermatologic Disease Database ] [ Home ] [ About Us ] [ D.O. Qualifications ] [ A.O.C.D. Membership ] © 2001-2004 by A.O.C.D. Site design by Creative Innovations hair loss treatments being | hair loss treatments and | Hair Loss Treatment & | Hair Loss Treatments Email | Hair Loss Treatments - | hair loss treatment can | hair loss treatments being | Hair Loss Treatments Rogaine | Hair Loss Treatment | Hair Loss Treatments - | Hair Loss Treatment By | Hair Loss Treatment | hair loss treatment - | Hair Loss Treatment Options | hair loss treatments that | Hair Loss Treatment Plan | Hair Loss Treatment Facial | hair loss treatment under | HAIR LOSS TREATMENTPRODUCT ORDERS | hair loss treatments and | Laser Hair Removal New YorkDormer Medical Spa - Alternative Medicine, Beauty & Fitness - New York, NY, 10021 - Citysearch 8 BOC Spa & Beauty: 8 days till voting begins -- New to Citysearch? Sign In · Help · Dec 28 2005 Home Restaurants Bars & Clubs Hotels Shopping Spa & Beauty Movies Events See More Categories » Search Business name, category, and/or keyword Search by name only Address, city & state, or zip | Neighborhood Address, city & state, or zip | Neighborhood Address, city & state, or zip | Airport Address, city & state, or zip | Attraction Select a New York Neighborhood Astoria Bronx Brooklyn Carroll Gardens/Cobble Hill Chelsea Chinatown East Village Financial District Flatiron District Fort Greene Gramercy Park Greenwich Village Harlem Little Italy Lower East Side Meatpacking District Midtown East Midtown W/Hells Kitchen Murray Hill Park Slope Queens Soho Times Square/Theater Dist Tribeca Union Square Upper East Side Upper West Side West Village Williamsburg Select an New York Airport Select an New York Attraction My Locations Add/edit locations Recent Locations Clear recent locations Save to My Citysearch Printer Friendly Version Home · Yellow Pages · Alternative Medicine · Massage · Profile Dormer Medical Spa 22 E 72nd St Fl 5 New York, NY 10021 (212) 535-5905 () - (Fax) Editorial Profile What happens when a doctor and a skin care specialist join forces. Read More | User Reviews (3) 8.9 Overall Recommended About our ratings Ratings feedback Send to a Friend Own this business? » Enhance or edit your listing See something wrong? » Suggest a correction Things to do nearby: 22 E 72nd St Fl 5 New York, NY 10021 · Restaurants · Hotels · Bars · Movie Theaters · Department Stores · Shopping Centers & Malls · Grocery Stores · Pharmacies · Florists · Banks Related Searches · New York Alternative Medicine · New York Massage Alternative Medicine · Search anything in New York · Search Yellow Pages in New York · Search other Cities · Browse New York Editorial Lists Dormer Medical Spa A message from this business Featured in 'Best Of' Avenue Mag. Laser hair removal, BOTOX, Collagen Laser Hair Removal, Collagen Botox , Facials, & Adult Acne Laser Vein Removal View more Close Citysearch Editorial Profile -- By Sandra Ramani What happens when a doctor and a skin care specialist join forces. Editorial Rating: Not Rated The Space Upper East Side style-meets-doctor's office practicality, without the attitude of either. Opened in the summer of 2000, Dormer-Lowrance (named for the two founders, a doctor and a certified esthetician) fills two apartment-sized locations across the hall from each other. At the time of our visit, the finishing touches were being placed on most of the converted treatment rooms, so while comfortable, they were still sparsely outfitted. The Services Treatments with an eye to results. Dormer-Lowrance aims to not just relax and pamper, but also help clients treat more long-term issues. So along with facials, massage, body buffing, paraffin hand masks and the Dynamed T2000 anti-stress capsule, they also offer laser hair removal, a Liposculpting machine for cellulite reduction and laser scar and vein treatments. Specialists are available for nutrition consultations, and the doctor on staff conducts yearly preventative physicals. Recently, the spa purchased one of the few laser machines to fight facial wrinkles and the therapists will gladly work with plastic surgeons to provide pre-and post-op beauty regimes. Editorial content is independent of paid advertisers. Any expenses are paid for by Citysearch. Insider Tips Dynamed? Dynamite! Check out the futuristic Dynamed T2000 capsule, which uses heat, aromatherapy, massage and audio to induce an alpha state. Read more about it in our "X-treme Beauty" feature. American Beauty Find more beauty at the Whitney Museum of American Art. User Reviews What users are saying Short lines: yes Convenient hours: yes Low prices: yes Easy parking: yes Write a review and share your thoughts with other users. Laser Hair Removal that works Posted by ben_hairy on 10/18/2002 I always thought I had an unusually hairy back and it made me miserable during the summer with the heat and the embarrassment of taking my shirt off in public. I wasn't going to consider laser hair removal since a friend of mine had had multiple treatments at a local spa that seemed to be ineffective. But my new girlfriend at the time told me that Dr. Dormer had a great reputation and that she had received laser treatments last winter for her underarms and bikini area and was very satisfied with her results (it looked good to me too). After a free consultation and four treatments over the past 6 months I have 80% less hair on my back! It wasn't cheap but I feel great about myself. Thanks Beth wherever you are. Pros: professional, hospitable, exceptional Overall user rating: Highly Recommended Was this review helpful: Yes or No | Request removal of this review » Read all 3 reviews Related Editorial Content Nolita Shopping Guide Soho East offers an edgier selection of boutiques. Ski and Snowboard Guide We've got the lowdown on where to carve some turns, spend the night and shop for gear. Hotel Spas Indulge New York-style, whether you live here or not. View More » Specialty ratings for Dormer Medical Spa: 8.5 Hair Removal About Us | Advertise with Us | Contact Us | Press Center | Site Guide | List Your Business on Citysearch | Become an Affiliate | Job Opportunities | Other Cities | Get a Business Website | Submit an Event | Privacy Policy | Terms of Use | New York Yellow Pages Citysearch is a registered trademark of 720619 Ontario Inc. and is used under license (C) 2005 Citysearch.com All rights reserved. partner sites: Evite - Entertainment.com - Gifts.com - TripAdvisor - ServiceMagic - Ticketmaster - Expedia - Hotels.com - Hotwire - HSN - LendingTree - Match.com - RealEstate.com - ReserveAmerica - Zerodegrees - CondoSaver - ClassicVacations - Ballard Designs - Frontgate - Garnet Hill - Smith+Noble - The Territory Ahead - Travel Smith hair loss treatment. 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TheHairStyler.com - | hair styles and hair | hair styles Wedding planning | hair styles black hair | hair style 'best' suited | Hair Styles Fashion Blog | Hair Styles Coloring Your | hair style like any | hair styles, black hair | hair styles Exotic Allure | Hair Styles Men's Hair | Hair Styles 3950 Hairstyles | hair styles. Books with | Hair Styles Revenge History | hair styles. Low yearly | Hair Style Selections and | hair style. Hair style. | Hair Style - Long | hair style Narrow These | Hair Style | Hair analysis is aHair Analysis: A Cardinal Sign of Quackery Quackwatch Home Page ||| Other Dubious Tests Commercial Hair Analysis: A Cardinal Sign of Quackery Stephen Barrett, M.D. Hair analysis is a test in which a sample of a person's hair-- typically from the back of the neck -- is sent to a laboratoryfor measurement of its mineral content. This discussion concernsmultielemental hair analysis in which a single test is used todetermine values for many minerals simultaneously. This type ofanalysis used by chiropractors, "nutrition consultants,"physicians who do chelation therapy, and other dubious practitionerswho claim that hair analyses can help them diagnose a wide varietyof diseases and can be used as the basis for prescribing supplements. Analysis of Proponent Claims Proponents of hair analysis claim that it is useful for evaluatinga person's general state of nutrition and health and is valuablein detecting predisposition to disease. They also claim that hairanalysis enables a doctor to determine if mineral deficiency,mineral imbalance or heavy metal pollutants in the body may bethe cause of a patient's symptoms. These claims are false. Although hair analysis has limited value as a screening device for heavy metal exposure, it is not reliable for evaluating the nutritional status of individuals. In 1974, the AMA Committee on Cutaneous Health and Cosmetics noted: "The state of health of the body may be entirely unrelated to the physical and chemical condition of the hair . . . Although severe deficiency states of an essential element are often associated with low concentrations of the element in hair, there are no data that indicate that low concentrations of an element signify low tissue levels nor that high concentrations reflect high tissue stores. Therefore . . . hair metal levels would rarely help a physician select effective treatment." [1] Most commercial hair analysis laboratories have not validated their analytical techniques by checking them against standard reference materials. The techniques typically used to prepare samples for analysis can introduce errors for many of the elements being determined. Hair mineral content can be affected by exposure to various substances such as shampoos, bleaches and hair dyes. No analytic technique enables reliable determination of the source of specific levels of elements in hair as bodily or environmental. The level of certain minerals can be affected by the color, diameter and rate of growth of an individual's hair, the season of the year, the geographic location, and the age and gender of the individual. Normal ranges of hair minerals have not been defined. For most elements, no correlation has been established between hair level and other known indicators of nutrition status. It is possible for hair concentration of an element (zinc, for example) to be high even though deficiency exists in the body. Hair grows slowly (1 cm/month), so even hair closest to the scalp is several weeks old and thus may not reflect current body conditions for purposes of health diagnosis. The use of a single multielemental hair analysis test as the sole means of diagnosis violates basic tenets of medical practice that laboratory findings should be considered together with the patient's history and physical examination, and that the practitioner should keep in mind that laboratory errors occur. For these reasons, multielemental analysis of human hair isnot a valid technique for identifying an individual's currentbodily excesses or deficiencies of essential or nonessential elements.Nor does it provide a valid basis for recommending vitamins, minerals,or other dietary supplements [2,3] In the mid-1980s, there were about 18 laboratories doing commercialhair analysis in the United States. Today there are fewer. Somelaboratories have belonged to the American Society of ElementalTesting Laboratories (ASETL). In 1982, ASETL began a program inwhich a well-known proficiency-testing service received and tabulatedthe data from analyses of identical hair samples sent to sevenmember laboratories. However, at the end of the year, the testingservice refused to continue because the data were inconsistentand appeared to have no clinical significance. In 1983 and 1984, I sent hair samples from two healthy teenagersto 13 of the commercial laboratories [4]. In 1985, I sent pairedsamples from one of the girls to five more labs. The reportedlevels of most minerals varied considerably between identicalsamples sent to the same laboratory, and from laboratory to laboratory.The laboratories also disagreed about what is "normal"or "usual" for many of the minerals, so that a givenmineral value might be considered low by some laboratories, normalby others and high by others. Most of the reports contained computerized interpretationsthat were voluminous and potentially frightening to patients.The nine labs that included supplement advice in their reportssuggested them every time, but the types and amounts varied widelyfrom report to report and from lab to lab. Many of the items recommendedwere bizarre mixtures of vitamins, minerals, nonessential foodsubstances, enzymes, and extracts of animal organs. One reportdiagnosed 23 "possible or probable conditions," includingatherosclerosis and kidney failure, and recommended 56 supplementdoses per day. Literature from most of the laboratories suggestedthat their reports were useful in managing a wide variety of diseasesand supposed nutrient imbalances. I concluded that commercialuse of hair analysis in this manner is unscientific, economicallywasteful, and probably illegal, and that even if hair analysiswere a valuable diagnostic tool, it is doubtful whether the laboratoryreports themselves were reliable. In 1985, the public affairs committee of the American Instituteof Nutrition/American Society for Clinical Nutrition issued aposition paper on hair analysis. The paper concluded that althoughhair analysis may have some value for comparing population groupsas to status of various minerals or assessing exposure to heavymetals, assessment of individual subjects appears to have "almostinsurmountable difficulties." For this reason, said the paper,hair analysis might best be reserved for experimental studiesdesigned to evaluate its potential as an indicator of nutritionstatus and perhaps for some public health surveys. Noting thatabout 100 articles a year are published on hair analysis, onenutritionist who reviewed the position paper suggested that thetest's inherent limitations make much of the research useless[5]. The AMA's current policy on hair analysis -- adopted in 1984and reaffirmed in 1994, is: The AMA opposes chemical analysis of the hair as a determinant of the need for medical therapy and supports informing the American public and appropriate governmental agencies of this unproven practice and its potential for health care fraud [6]. A recent 2-year study of students exposed to fumes from metalwelding found that hair analysis did not consistently reflectblood levels of 11 heavy metals [7]. Government Actions Hair analysis was involved in a case prosecuted in 1980 bythe Los Angeles City Attorney's Office. According to the officialpress release, Benjamin Colimore and his wife, Sarah, owners ofa health-food store, would take hair samples from customers inorder to diagnose and treat various conditions. Prosecution wasinitiated after a customer complained that the Colimores had saidshe had a bad heart valve and was suffering from abscesses ofthe pancreas, arsenic in her system, and benign growths of theliver, intestine, and stomach-all based on analysis of her hair.Two substances were prescribed, an "herbal tea" whichturned out to be only milk sugar, and "Arsenicum," anothermilk-sugar product that contained traces of arsenic. Another sampleof hair was taken when the customer returned to the store fiveweeks later. She was told that the earlier conditions were gone,but that she now had lead in her stomach. A government investigatorreceived similar diagnosis and treatment. After pleading "nocontest" to one count of practicing medicine without a license,the Colimores were fined $2,000, given a sixty-day suspended jailsentence, and placed on probation for two years. In 1985, in response to a petition by the Federal Trade Commission(FTC), a federal judge issued a permanent injunction against Arthur,Ethel and Alan Furman and any business through which they mightact. The order forbids "holding themselves out . . . to personsother than health professionals, as being able, on the basis ofhair analysis, to measure accurately the elemental content ofa person's body or to recommend vitamin, mineral or other dietarysupplements which can correct chemical excesses and deficienciesin a person's body." [8] As a result of the FTC action, theFurmans' laboratory closed and, until recently, direct advertisingto the public has been rare. However, the FTC has not pursuedthe laboratories that serve practitioners because it feels thatpractitioner misconduct should be regulated by state agencies. In 1986, Analytical Research Laboratories (ARL) of PhoenixArizona signed a consent agreement with the New York State AttorneyGeneral to stop "soliciting and accepting hair specimensfor laboratory examination where the purpose is to determine possibleexcesses of deficiencies in nutrient mineral levels or toxic metallevels in the body." The Attorney General acted because ahealth food store proprietor had been using hair analysis as thebasis for recommending vitamin and mineral supplements. ARL hadnot been licensed to operate within New York State, and hair analysisfor the purpose of determining nutrient levels is not legal there. In 1986, Doctor's Data ,a Chicago-based laboratory agreed to stop accepting human hairspecimens from New York State unless it can obtain a permit fromthe New York State Department of Health. The company also agreedto pay $25,000 in costs and penalties. Action was taken becausea bogus "nutrition consultant" had been using the testas a basis for prescribing vitamins, minerals, and other supplements. Recent Claims BiochemicalLaboratories, of Edgewood, New Mexico, claims that abdominalpain, hypertension, anemia, hypoglycemia, anxiety, impotence,depression, infertility, diarrhea, joint pain, learning, disorders,fatigue, headache, and premenstrual syndrome all result from "chronicmetal imbalances," which, presumably, can be diagnosed withhair analysis and treated with dietary supplements. Trace Elements, Inc .,of Dallas, Texas, promotes "balancing body chemistry throughhair tissue mineral analysis." The company claims to havedeveloped "a precise nutritional therapeutic approach basedon the recognition of eight individual biochemical types usingelemental analysis of hair." It also sells "metabolicsupplements synergistically formulated" for each of thesetypes. It markets primarily through chiropractors. Trace Mineral Systems ,of Alexandria, Virginia, touts its $49.95 hair analysis as "thetest that helps body chemistry" and markets it directly tothe public. A recent magazine ad claimed that its test reportswould show "the body's excesses, deficiencies & toxicitiesand the diseases associated with them." [9] Doctor's Data reports the level of a "toxic mineral"as high when the amount is near the top of its "referencerange." This merely means that the specimen contained morethan most other specimens handled by the lab. It does not meanthat the level is abnormal or that the level within the patient'sbody is dangerous. In a recent paper, the company acknowledgedthat "compared to interpretation of commonly measured analysesin blood or serum, interpretation of elemental analyses from hairseems primitive." Despite, this, the authors claimed thatit would be prudent to "adopt a reference range consistentwith what is observed in 95% of a healthy population.." [10] New Research In 1999, researchers from the California Department of Healthlocated nine laboratories and sent identical samples to six ofthem. The reported mineral levels, the alleged significance ofthe findings, and the recommendations made in the reports differedwidely from one to another. The researchers concluded that theprocedure is still unreliable and recommended that governmentagencies act vigorously to protect consumers [11]. Even if hairmineral content were measurable with 100% accuracy, it makes nodifference because the results are not useful for measuring thebody's nutritional status. Should youencounter a practitioner who claims otherwise, run for the nearestexit! References Lazar P. Hair analysis: What does it tell us? JAMA 229:1908-1909, 1974. Hambidge KM. Hair analyses: Worthless for vitamins, limited for minerals . American Journal of Clinical Nutrition 36:943-949, 1983. Klevay LM and others. Hair analysis in clinical and experimental medicine . American Journal of Clinical Nutrition 46:233-236, 1987. Barrett S. Commercial hair analysis: Science or scam? JAMA 254:1041-1045, 1985. Fosmire GJ et al. Hair analysis to assess nutritional status. AIN Nutrition Notes 21(4):10-11, 1985. Hair analysis: A potential for medical abuse. Policy number H-175.995,(Sub. Res. 67, I-84; Reaffirmed by CLRPD Rep. 3 - I-94) Teresa M and others. Trace-element concentration in blood and hair of young apprentices of a technical-professional school. The Science of the Total Environment 205:189-193, 1997. FTC v Furman, 1985-1 CCH Trade Case (CCH) ¶66486 (ED Va 1985). Trace Mineral Systems. Alternative Medicine Digest, Aug/Sept 1998, p 99. Druyan ME and others. Determination of reference ranges for elements in human scalp hair. Biological Trace Element Research 62:183-197, 1998. Seidel S and others. Assessment of commercial laboratories performing hair mineral analysis . JAMA 285:67-72, 2001. MercuryTesting in Hair Quackwatch Home Page ||| OtherDubious Tests This article was revised on January5, 2001. hair style of boys | hair styles. We want | hair styles worn by | hair styles pictures we | hair style that's perfect | Hair Style Kit My | Hair Style Archives Hair | hair styles. The problem | Hair Styles from HotHair! | Hair Style | hair styles and cool | Hair Loss Product | Hair Loss Product | Hair Loss Product | Hair Loss Product | Hair Loss Products: What | hair loss products. Hair | Hair Loss Products Nisim | hair loss products then | Hair Loss Products: Concealer | Hair Loss Treatments >Hair Loss Treatments Products in the Yahoo! 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Hairmeds.com - provides consultations and prescriptions. Millefolium International - sells hair loss concealer products. BB Distribution, Ltd. - offering a formula that treats and restores all forms of thin hair and hair loss for both men and women. 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