Figure 1414

Peruvian Hair Loss Treatment

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Hair follicle and other skin appendages, a. Diagram showing a hair follicle. Note the cell layers that form the hair shaft and the surrounding external and internal root sheaths. The sebaceous gland consists of the secretory portion and a short duct that empties into the in-fundibulum. The arrector pili muscle accompanies the sebaceous gland; its contraction assists in gland secretion and discharge into the infundibulum. The apocrine gland also empties into the infundibulum of the hair follicle. Note that eccrine sweat glands are independent structures and are not associated directly with the hair follicle, b. Photomicrograph of H8E-stained section of thin skin from human scalp.

external root sheath

Hair Follicle Outer Root Sheath Tem

The growing end of a hair follicle consists of an expanded hair bulb (HB) of epithelial cells that is invaginated by a papilla of connective tissue. The epithelial cells form the unspecialized matrix surrounding the papilla; as the cells leave the matrix, they form cell layers that differentiate into the shaft of the hair and the inner and outer root sheaths of the hair follicle (HF). Note that several oblique and longitudinal sections of the hair follicles are embedded in the adipose tissue (AT) of the hypodermis. Some of them reveal a section of the hair. Sebaceous glands (SG) are visible in conjunction with the upper part of the hair follicle. x60.

Hairs are composed of keratinized cells that develop from hair follicles

Keratinization of the hair and internal root sheath occurs shortly after the cells leave the matrix, in a region called the keratogenous zone. By the time the hair emerges from the follicle, it is entirely keratinized as hard keratin. The internal root sheath, consisting of soft keratin, does not emerge from the follicle with the hair but is broken down at about the isthmus level where sebaceous secretions enter the follicle. A thick basal lamina, called the glassy membrane, separates the hair follicle from the dermis. Surrounding the follicle is a dense irregular connective tissue sheath to which the arrector pili muscle is attached.

Hairs are elongated filamentous structures that project from the hair follicles. They also consist of three layers (see Fig. 14.14):

• Medulla, which forms the central part of the shaft and contains large vacuolated cells. The medulla is present only in thick hairs.

• Cortex, which is located peripheral to the medulla and contains cuboidal cells. These cells undergo differentiation into keratin-filled cells.

• Cuticle of the hair shaft, which contains squamous cells that form the outermost layer of the hair.

In addition, the hair shaft contains melanin pigment produced by melanocytes present in the germinative layer of the hair bulb.

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Hair Loss Prevention

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