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Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC
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2022, Number 2

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (2)

The follicular microbiome, immune privilege, and its impact on hair disorders. Regarding two cases

Martínez-Suárez HV, Guzmán-Sánchez DA, Espinoza-González NA
Full text How to cite this article

Language: Spanish
References: 13
Page: 173-177
PDF size: 561.48 Kb.


Key words:

microbiome, immune privilege, alopecias.

ABSTRACT

The capillary losses that we see every day in our work spaces are mostly not so difficult to diagnose. We can start a treatment with the therapeutic arsenal that we have and generally, patients and doctors are satisfied with the results.
However, there is an important group of patients who present relapses or who develop greater capillary loss or even other trichological conditions at the same time.
We report two clinical cases that involve damage to the capillary immunological privilege and in addition, two or more disorders are combined at the same time, being progressive and impacting the personal image of each patient.
The study of personal habits, contributing diseases, as well as the intake of some medications, is extremely important to be able to determine the origin of relapses or the worsening of cases. The immune privilege collapses and will not only be affected in scarring alopecia, it can also induce, accompany and give an unexpected turn to the therapeutic response.
It is extremely important to have a comprehensive approach to each patient and thus be able to understand a little better the evolution that their disease is following as well as the possible causes of relapses.


REFERENCES

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Dermatología Cosmética, Médica y Quirúrgica. 2022;20