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Cutis verticis gyrata is a medical condition usually associated with thickening of the scalp. [1] The condition is identified by excessive thickening of the soft tissues of the scalp and characterized by ridges and furrows, which give the scalp a cerebriform appearance. Clinically, the ridges are hard and cannot be flattened on applying pressure.
The fungus can also exist in a carrier state on the scalp, without clinical symptomatology. Treatment of tinea capitis requires an oral antifungal agent; griseofulvin is the most commonly used drug, but other newer antimycotic drugs, such as terbinafine, itraconazole, and fluconazole have started to gain acceptance.
Pityriasis amiantacea affects the scalp as shiny asbestos-like (amiantaceus) thick scales attached in layers to the hair shaft. [3] The scales surround and bind down tufts of hair. [ 4 ] The condition can be localised or covering over the entire scalp.
Bicalutamide is another option for the treatment of female pattern hair loss. [37] [38] [39] It has a far lower risk of liver toxicity than flutamide and is said to have an excellent safety profile. [38] [39] [40] However, bicalutamide retains a small risk of liver toxicity and for this reason periodic liver monitoring is recommended during ...
Thus, to foster a return to school in a timely fashion, these policies can encourage unsafe or harsh treatment practices, including chemicals like bleach or kerosene. Similarly, over-treatment of head-lice using pesticide-based pediculicides has been linked to increased resistance and declining efficacy of these treatments. [54]
To diagnose infestation, the entire scalp should be combed thoroughly with a louse comb and the teeth of the comb should be examined for the presence of living lice after each time the comb passes through the hair. The use of a louse comb is the most effective way to detect living lice. [9]
These guidelines contain recommendations for effective practice based on current evidence. SIGN aim to improve the quality of health care for patients in Scotland. Membership includes medical specialists, nursing , pharmacy , dentistry , professions allied to medicine , patients, managers, social services and researchers.
Treatment is continued until the symptoms and signs of scalp inflammation are controlled, and progression of the condition has been slowed. In other words, itching, pain, tenderness, and burning have cleared, scalp redness, scaling, and/or pustules are no longer present, and the progression of the hair loss has been stopped or slowed.