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118 records · Page 7Linked to original sources

Temporary hair removal in patients with hirsutism: a clinical study.

Women with facial hirsutism are burdened with hairs that often interfere with personal and work activities. Temporary hair removal is a major component in the management of hirsute patients. From a caseload of 1,000 patients, we submitted questionnaires to 271 and interviewed 135. We found that shaving was the most helpful and most frequently used temporary method. Judicious plucking can be helpful if tolerated, but care must be taken to avoid folliculitis, pigmentation, and scarring. Waxing and depilatories were used by less than 6 percent of patients on the face and by about 20 percent on other parts of the body. The avoidance of irritants and the use of hydrocortisone 1 percent cream are important in the management of any irritation due to hair removal techniques. Cosmetic coverups may be helpful.

Cosmetics↗

Mass eye casualties at sea.

During a "crossing the line ceremony" conducted aboard ship while returning from an extended deployment, 40 active duty sailors inadvertently received eye injuries from a chemical agent. The agent was suspected to be Magic Shave, a chemical depilatory powder containing calcium hydroxide as the active ingredient. Therefore, the resulting corneal burns were alkali in nature. Twenty of the 40 patients required admission to sick bay for 1 to 2 days. The remaining patients were followed on an outpatient basis. All patients were treated with irrigation of the affected eyes and most required patching for at least several days. No permanent eye disabilities resulted. The emergency treatment of chemical eye injuries is reviewed.

Burns, Chemical↗

Pseudofolliculitis barbae.

Pseudofolliculitis barbae is a chronic, distressing and potentially disfiguring dermatologic disorder that occurs predominantly in black men. The condition is caused by hairs curling back into the skin and is characterized by papules, pustules and, occasionally, keloidal scars over the beard region. Management includes cessation of shaving, the use of depilatories or topical antibiotics and modification of shaving techniques.

Facial Dermatoses↗

An investigation into the aetiology of 'wool slip': alopecia in ewes which are housed and shorn in winter.

Alopecia in housed ewes which are shorn in winter, 'wool slip', was investigated by taking wool and blood samples, skin scrapings and biopsies from affected and unaffected animals. Epidemiological information was also obtained from farm records, and reports from a local weather station. No pathological lesions were seen and no ectoparasites or forage mites were seen in wool samples or skin scrapings. The plasma zinc and copper concentrations of both groups were within the normal range but the copper concentrations were significantly lower in the unaffected animals. There was no difference between the prevalence of the disease in ewes of different breeds or between those producing single or twin lambs. A comparison of the mean temperatures during years of summer and winter shearing suggested that cold stress alone was not involved. Skin biopsies revealed that the wool follicles of affected animals were in an early growth phase (anagen) whereas those of unaffected animals were in the inactive phase (telogen). The clinical and histological signs of the disease were similar to those seen experimentally when corticosteroids are used as chemical depilatory agents. It is suggested that wool slip is due to the high levels of corticosteroids which occur as a result of the combination of housing and shearing and on this basis methods of control are proposed.

Alopecia↗

Preoperative hair removal with clippers does not increase infection rate in clean surgical wounds.

For a one year period, hair was removed from the operative site with clippers rather than by shaving with a razor or by application of depilatories. The study involved comparison of clean (Class I) wound infection rates in 2,580 patients after clipping was instituted compared with 17,424 patients studied in seven preceding years. There was no significant change in the wound infection rate (1 per cent) when compared with the three years immediately preceding. There was no change in the identified distribution of the infecting organism. Failure to show a clear reduction in wound infection rate was probably related to the low historic base line rate. There were definite benefits achieved by avoiding cancellation of elective operations, by using operating room personnel more efficiently and by expediating the surgical schedule.

Hair Removal↗

Pathogenesis and treatment of pseudofolliculitis barbae.

Pseudofolliculitis barbae is a condition in which a foreign body inflammatory reaction surrounds an ingrown hair. Shaving is the major cause, especially in persons with wavy or curly hair. Among black men who shave, the disease is of particular concern because of both social pressures and limited medical understanding concerning its treatment. The pathogenesis of the disease as well as treatment modalities are presented. General measures, as well as specific techniques involving use of electric clippers, chemical depilatories, manual razors, and complete epilation are discussed. Adjuvant measures are presented such as antibiotics and, in very special cases, retinoic acid.

Administration, Topical↗

[Acute, toxic, reversible hair loss through drain and sanitary cleansing vapors containing sodiumhypochloride and sodiumhydroxide].

Exposition to drain and sanitary cleansing vapors containing sodiumhypochloride and sodiumhydroxide provoked acute, reversible toxic alopecia. Trichograms of this depilatory type of alopecia showed that signs of hair dystrophy and loss of the hair sheath. Histological examination of skin and hair showed changes in hair structures and discrete lymphocytic infiltration. The prerequisite for this effect was the improper use of cleansing agents and the relative conditions during use which led to the intense exposition of the scalp to sodiumhypochloride vapor. A possible chemical reaction between cleansing agent and dirt may have been responsible, just as the condition of the scalp and hair e.g. increased transpiration, hydration may have led the way to hair loss. Acute hair loss occurred in the scalp and beard region following the use of cleansing agents; additional genital hair loss arose after sodiumhydroxide use. This condition persisted for 4 weeks. Body and scalp hair was completely restored after 1 year.

Alopecia↗

Pseudofolliculitis barbae. Medical consequences of interracial friction in the US Army.

Pseudofolliculitis barbae (PFB) is a minor disease affecting only, and almost all, blacks who shave. Because of a continued requirement by the US Army of clean shaven faces, significant interracial turmoil and animosity has been aroused. Unclear standards of care of the disease and haphazard policing of shaving habits led to a chaotic process with effective dermatologic care almost paralyzed by the hostile parties. Randomly approached lower-ranking enlistees and draftees are much more likely to complain about their disease, even if minor, and are more likely to refuse to shave and be unkempt even without permission to grow a beard (in contravention of Army regulations). Career black enlistees are likely to under-report the severity of their disease and not seek medical help, possibly because of fear of continuous harassment and inability to be promoted by their superiors. Lotion depilatories, or hair clippers, combined with routine lifting of ingrown hairs, are the most effective treatments, although complete cessation of shaving is first required.

Black or African American↗

Estimated prevalence of undiagnosed glucose intolerance from hyperandrogenic anovulation among women requesting electrolysis.

OBJECTIVE: Hyperandrogenic anovulation is the principal risk factor for non-insulin-dependent diabetes mellitus (NIDDM) in young women. Since many of these women undergo depilatory therapy, the purpose of this study was to estimate the probability of undiagnosed glucose intolerance associated with hyperandrogenic anovulation among premenopausal women requesting electrolysis. DESIGN: Case-series study. INTERVENTIONS: Women (N = 791) attending one of 27 electrology clinics in the United States, Canada and Germany received questionnaires requesting anthropometric data; personal information regarding age, surgery and medication use, and family histories of excess hair growth in female relatives and diabetes in parents or siblings. RESULTS: Of 652 respondents less than age 50 years, 643 (98.6%) women had hirsutism, of whom 465 had regular menstrual cycles. One hundred seventy-eight (27.3%) women less than 50 years of age had hirsutism with irregular menses, and one-half of these women also were obese. Regardless of adiposity, one-third of hirsute women with menstrual irregularity knew the cause of their androgen excess, while the remaining two-thirds were unaware of the reason for their excess hair growth. CONCLUSIONS: Assuming a 20% risk of glucose intolerance in obese hyperandrogenic anovulatory women by the fourth decade of life, the estimated prevalence of undiagnosed glucose intolerance from hyperandrogenic anovulation is 1.7% among women requesting electrolysis before age 50 years.

Adolescent↗