Transient Hair Loss after Finger Replantation
نویسندگان
چکیده
85 Transient hair loss is characterized as localized hair loss without scar formation. Hair loss can be in a localized part of the occipital area that develops 2–3 weeks after long-lasting surgery. Ischemic changes in the scalp exposed to pressure during long-term surgery are blamed for the hair loss. Its first signs are tenderness, swelling, and ulceration in the area subjected to pressure. In the histopathologic examination, chronic inflammation, an effect on hair follicles in the catagen phase, and cell death by apoptosis are observed [1,2]. Totally amputated second and third fingers of a 21-year-old male were replanted under general anesthesia in 8 hours (Figs. 1, 2). There were no postoperative complications, but the patient described tenderness and redness in the occipital area in the postoperative period. There were no pathologic signs except hyperemia. On postoperaLETTERS
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plays an important role in the etiology of postoperative transient hair loss. Its general presentation in the occipital area supports the pressure effect. Hair loss begins between postoperative day 3 and 28. Normal hair structure is expected to be acquired within 120 days. Physiological disorders were reported to trigger postoperative tranFig. 5. Appearance of transient hair loss at postoperati...
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