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HAIR LOSS AND HAIR PROBLEMS


Hair Loss

An otherwise fit young lady went to see her doctor because she had developed a band of baldness, extending from ear to ear all the way over the top of her head. From the history and examination, the physician concluded that her alopecia (the medical term for baldness) most likely resulted from the friction and pressure exerted by a pair of heavy earphones through which she listened to music while jogging. Anything that fits tightly on the head while, at the same time rubbing against it, may cause hair to be worn away at the site of frictional contact, a letter to the editor of the Journal of the American Medical Association (252:3367) reports. Hair re-grew quickly on this young lady’s head after she switched to lighter earphones.

Baldness and Beta-BIockers

Although beta-blocker drugs are used for high blood pressure and for the prevention of angina pectoris (chest pain originating in the heart) and, as a group, are now one of the most widely prescribed types of medication, it is not yet generally known that they are sometimes responsible for a considerable loss of hair.

The journal Cutis (35:148) reports a 62-year-old man who had always had a healthy head of hair but who, over a period of six weeks, gradually lost most of it. Shortly before this occurred, he had started taking nadolol, also known as Cor-gard, the new long-acting beta-blocker medicine. The cause-and-effect relationship between his use of this drug and the hair loss was not immediately recognized because he also had a scaly itching scalp. Since he had assumed that the itching, scaling scalp was caused by dandruff, he had treated the symptoms with a tar-containing shampoo.

Both the hair loss and this dermatitis cleared up soon after he stopped taking nadolol, so that his scalp slowly regained its normal appearance over the next three months. Hair loss, both j on the scalp and body, although uncommon, has occurred with most beta-blocker drugs.

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