Scalp pain and irritation (or trichodynia) are pathological conditions that affect both women (in a greater percentage) and men (in a lower percentage). The pain felt on the scalp, spontaneous or caused by treatment, and in particular around the roots of the hair, may be more or less intense, alternating at times between periods of disappearance, associated with burning, tingling or itching.
Scientific collaboration between Professor Marco Toscani and Dr. Pasquale Fino, Chair of Plastic, Reconstructive and Aesthetic Surgery, Umberto I Health Center – “Sapienza” University of Rome.
Some parameters and characteristics should be taken into consideration when assessing hair types and morphologies: shape, density and appearance. The appearance of hair, in the form of lanugo, occurs during the fourth month of pregnancy.
Hair grows at a rate of around 0.3 mm per day, or rather 1 cm per month. It grows longer in women. In any case, this growth tends to diminish with age. The rate of hair growth is more evident in the age range between 10-11 years and 16-18 years of age. These values may vary from person to person. Hair growth cycles last from 2 to 6 years, on average.
There are, however, exceptions, cases in which it can last up to 10 years. At the end of each cycle, the hair falls out and is replaced by a new hair.
Nowadays, the properties and functions of hair are social, sexual and psychological. On the other hand, the hair functions related to protection from external agents or thermoregulation, still present in furry animals, have been lost.
Hair length also varies greatly from person to person. The average length is never more than one meter. It must be noted however that hair can exceed this lenth in certain individuals.
We can distinguish between three types of hair according to shape, according to the appearance that the shaft may take at the base and according to its capillary section, which is determined genetically.
Hair may, therefore, be:
1) cymotrichous: wavy or curly in oval sections, typical of Caucasian races (Europeans);
2) leiotrichous: smooth in round sections, typical of Mongoloid races (Asians);
3) ulotrichous: woolly and dry in flat sections, typical of black ethnicities (Africans).
The hairiest population is the Caucasian one, the Mongoloid population is the less hairy, and the black population is in the middle between these. The various hair types are different in terms of shape, thickness and flexibility, but all share the same chemical characteristics, with keratin being the predominant element. The thickness of hair varies based on ethnicity, and goes from a minimum of 0.06 mm to a maximum of 0.1 mm in Mongoloid races. Leiotrichous hair (Asian) has the largest diameter, followed by cymotrichous hair (Indo-European), while ulotrichous hair (African) is generally finer than all the rest. The diameter, which also varies based on age, is approximately 70 microns (one thousandth of a millimeter), on average. All hair follicles are at an incline with respect to the skin. On the scalp, hair emerges with an incline of around 75 degrees. The number of hair follicles on the scalp at birth is determined genetically. Hair density varies according to the scalp region and is 150 hairs per cm2, on average. Moreover, hair density is correlated with hair color. On average, there are 150 thousand blonde hairs, 110 thousand brown hairs, 100 thousand black hairs and 90 thousand red hairs. The total number of hairs on the scalp is around 100 thousand. The maximum density is seen in those with blonde hair, while the minimum density is seen in those with red hair. Hair can be thick, thin or soft according to the thickness of the cortex and cuticle. The colour of hair is due to melanin (a colored substance). Two types exist: eumelanin, present in dark (black) hair, and pheomelanin, which is instead present in light (red, blonde, golden brown) hair. In blonde hair, the melanin pigments are only present in the cuticle, while in colors ranging from brown to black they are also found in the medulla layer. In red hair the melanin pigments are replaced by widespread soluble pigments. Hair is also rich in minerals that vary according to the color. In red hair we find iron, in black hair we find magnesium and, lastly, lead can be found in brown hair. Hair becomes white due to the loss of the enzymatic exchange between thyroxine and melanocytes. In other words, the cells that produce melanin no longer function correctly. Hair may also suddenly change color due to various causes (fear, illness, etc…)
A shedding of hair is considered physiologically normal when hair loss is limited to around one hundred hairs per day. During an individual’s life hair grows, falls out and regrows around twenty times. Each cycle, especially for females, may last up to six years and if hair loss is found within this time frame, it is considered absolutely physiological.
The life cycle of hair and its subsequent growth occur at a speed of 1-1.5 cm per month. Hair is a living element that follows a follicle cycle with an average duration of 2-6 years. In humans, unlike other mammals that are subject to a periodic change, this cyclic evolution is not synchronous (therefore each hair is independent from the others).
With the term Telogen Defluvium we mean a modest, not excessive, loss of hair in the telogen phase, but which tends to often be irreversible, with the precise characteristics of hair in decay or involution. The hair that falls out is usually short and fine, with bulbs that are undeveloped and reduced in size.
Scalp itchiness of varying intensity is a sensation perceived by many people of both sexes.
Itchiness is a scalp problem that leads those afflicted to scratch their skin and is often associated with pain. Many causes of this illness are recognized, which shouldn’t be underestimated as it may cause hair loss or thinning.
Seborrheic dermatitis is a very common scalp condition characterized by the presence of yellow and oily flakes on the skin.
It is associated with erythema, small scaly, and intense itching.
Seborrheic dermatitis is a well-known condition but is still not easily identifiable. Many men and women starting from puberty have oily, greasy, shiny and thickened skin with large hair follicles, especially noticeable around the nose and mouth, forehead, torso, scalp (affected by so-called oily dandruff).
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