1 2020-2021 Corona virus and hair loss - PowerPoint Presentation

1. 12020-2021Corona virus and hair lossBy Assistance lecturer Huda Salman 2020-2021

2. 22020-2021Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus.Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.INTRODUCTION

3. 32020-2021CDC is actively working to learn more about the whole range of short- and long-term health effects associated with COVID-19. As the pandemic unfolds, we are learning that many organs besides the lungs are affected by COVID-19 and there are many ways the infection can affect someone’s health.While most persons with COVID-19 recover and return to normal health, some patients can have symptoms that can last for weeks or even months after recovery from acute illness. Even people who are not hospitalized and who have mild illness can experience persistent or late symptoms. Multi-year studies are underway to further investigate. CDC continues to work to identify how common these symptoms are, who is most likely to get them, and whether these symptoms eventually resolve.Long-Term Effects of COVID-19

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5. 52020-2021The most commonly reported long-term symptoms include:FatigueShortness of breathCoughJoint painChest painOther reported long-term symptoms include:Difficulty with thinking and concentration (sometimes referred to as “brain fog”)DepressionMuscle painHeadacheIntermittent feverFast-beating or pounding heart (also known as heart palpitations)

6. 62020-2021There are three phases in the hair follicle growth cycle: anagen (growth), catagen (resting) and telogen (shedding). Generally speaking, about 90% of hairs are in anagen, with 5% in catagen and 5% in shedding in telogen, says Dr. Khetarpal. Most people shed between 50 and 100 hairs each day.In telogen effluvium, the proportion of hair follicles in the telogen phase increases significantly, up to 50%, leading to mass shedding. There’s generally a two- to three-month lag between the stressful event and the onset of hair loss.“This is why we’re seeing these patients now, several weeks after COVID-19 symptoms resolve. Telogen effluvium isn’t a symptom of COVID-19 as much as it is a consequence of the infection.”This hair loss can last for up to six to nine months. Generally, most cases resolve on their own, unless it’s related to medication or a nutritional deficiency.Risk factorsThe hair growth cycle

7. 72020-2021Hereditary hair lossBoth men and women develop this type of hair loss, which is the most common cause of hair loss worldwide. In men, it’s called male pattern hair loss. Women get female pattern hair loss.AgeWith age, most people notice some hair loss because hair growth slows. At some point, hair follicles stop growing hair, which causes the hair on our scalp to thin. Hair also starts to lose its color. A woman’s hairline naturally starts to recede.Alopecia areataAlopecia areata is a disease that develops when the body’s immune system attacks hair follicles (what holds the hair in place), causing hair loss. Risk factors

8. 82020-2021Cancer treatmentIf you receive chemotherapy or have radiation treatment to your head or neck, you may lose all (or most of) your hair within a few weeks of starting treatment.Childbirth, illness, or other stressorsA few months after giving birth, recovering from an illness, or having an operation, you may notice a lot more hairs in your brush or on your pillow. This can also happen after a stressful time in your life, such as a divorce or death of a loved one.Hair careIf you color, perm, or relax your hair, you could be damaging your hair. Over time, this damage can lead to hair loss.Hormonal imbalanceA common cause of this imbalance is polycystic ovary syndrome (PCOS). Risk facters

9. 92020-2021“With telogen effluvium, the scalp should look completely normal. There should be no rash or other symptoms like itching, burning, pain or flaking. If these symptoms are present or there are visible changes on the scalp, patients should be referred to dermatology,” Dr. Kheterpal continues.“I think it’s really important to reassure and counsel the patient that this will get better. Many patients fear going bald, especially women. This hair loss will improve, but it does take time to get back to normal.”Patients should continue their normal hair habits, such as washing and styling.Ensuring the patient consumes a well-balanced diet with fruits, vegetables and protein is very reasonable, says Dr. Khetarpal. “We may check iron and vitamin D levels, and perhaps recommend a multivitamin that contains iron or an iron supplement. A biotin supplement may help as well. In terms of medications, the best over-the-counter treatment for telogen effluvium is minoxidil 5%, which is FDA-approved for both men and women, but should be avoided if a woman is pregnant or breastfeeding.”Management

10. 102020-2021Pandemic stress may lead to hair loss even in patients who have not had COVID-19Dr. Khetarpal reports seeing more patients who are experiencing telogen effluvium since the beginning of the pandemic, including patients who have not tested positive for COVID-19. This form of stress-related hair loss can be the result of external stressors in addition to illness.“There are so many pandemic-related stresses. There’s financial stress, concern for ill family members, anxiety about contracting the virus, social isolation and changes related to working and schooling from home. We are absolutely seeing hair loss in non-COVID patients that seems related to pandemic stress.”

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