- It is a category encompassing various diseases that occur in the pilosebaceous unit, which consists of hair follicles and sebaceous glands, and does not refer to a single disease or a specific stage of severity itself.
- The causes vary depending on the underlying disease, including genetic predisposition, hormonal/immune changes, microbes, inflammation, drugs, or physical stimuli.
- Keratinization of the hair follicle, sebum secretion, perifollicular inflammation, or abnormalities in the hair growth cycle can create symptoms either alone or in combination.
- Representative manifestations can include alopecia, infections of the scalp or skin, and changes in keratin, dandruff, or the hair and follicles.
- The pattern of onset and severity can vary depending on age, hormonal status, family history, immune status, medications taken, skin care, and environmental factors.
- Hair falls out and regrows through anagen and telogen phases, and depending on the disease, symptoms may be temporary or recurrent/persistent.
- Diagnosis is based on symptoms, medical history, and examination of the skin, scalp, and hair; if necessary, hair testing, culture, blood tests, or skin biopsy are selected according to the specific sub-condition.
- This category is very broad, so the cause cannot be confirmed by findings such as alopecia or scaling alone; it is necessary to differentiate it from other diseases with similar symptoms and consider the possibility of drugs or systemic diseases.
- Management consists of skin and scalp care tailored to the sub-condition and severity, adjustment of triggering factors, control of inflammation, infection, and scaling, and specialized medical care if necessary.
- This is not a category with a single standard treatment; treatment choices and expected effects vary depending on the accurate sub-diagnosis and the individual's condition.