The Difficult Hair Loss Patient Guide to Successful Management of Al
You could read every textbook available on hair growth and disorders, and still not be able to treat hair loss effectively. In every art, there are many techniques, but few principles. The only way to achieve success is to have a firm foundation of princi
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The Difficult Hair Loss Patient Guide to Successful Management of Alopecia and Related Conditions
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The Difficult Hair Loss Patient
Ralph M. Trüeb
The Difficult Hair Loss Patient Guide to Successful Management of Alopecia and Related Conditions
Ralph M. Trüeb Dermatologische Praxis & Haarcenter Wallisellen (Zürich) Switzerland
ISBN 978-3-319-19700-5 ISBN 978-3-319-19701-2 DOI 10.1007/978-3-319-19701-2
(eBook)
Library of Congress Control Number: 2015946863 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant. Lucius Annaeus Seneca (4BC–AD65)
Every physician comes into the situation of having to care for patients who are perceived as difficult because of behavioral or emotional aspects that affect their interrelationship. From experience, few dermatologic complaints carry as much emotional overtones as those related to hair loss. Difficulties may be traced to the patient, to the physician, or to the underlying dermatologic condition itself. Patient factors include psychiatric disorders, personality disorders, and behavioral traits. Physician factors include overwork, poor communication skills, low level of experience, and discomfort with uncertainty. Finally, some dermatologic conditions may be challenging both in terms of differential diagnosis and effective treatment. Usually, a detailed patient history, systematic physical examination, pertinent screening blood tests, and a biopsy will establish a specific diagnosis, and once the diagnosis is certain, treatment appropriate f
