Angiofibromas
Acute telogen effluvium is the most common cause of facial hair loss in both men and women. The condition is characterized by shedding of the hair at a rapid rate, usually in about four to six weeks. This rapid shedding is due to intense stress on the follicles, resulting in hyperkeratinization and eventual shedding of all or most of the hairs. Excess keratinization is responsible for the redness, swelling, and itchiness seen in the areas where there are facial hairs falling out. It can also produce sores, cracks, blisters, and lesions in the areas where there are no hair growth.
Facial angiofibromas, also known as acoustic nodules, are vascular disorders that occur below the dermal layer of the skin. They are characterized by the presence of vessels, which connect the inguinal vessels of the inguinal fold to the facial skin. These vessels may be restricted to the tip of the nose, around the mouth, on the cheeks and occasionally on the chin. The majority of individuals with facial angiofibromas do not have any hearing loss; however, in cases of children and individuals over 50 years of age, there may be a delay in the development of speech.
There are a number of potential sources of differentiation for each facial area affected by angiofibroma. In order to make a differential diagnosis, a physician needs to evaluate all the symptoms and behaviors in addition to performing a physical examination. Although it is generally believed that all individuals have a genetic predisposition for this disease, there are no specific genetic abnormalities that can be reliably detected using genetic testing. Several factors, such as the location of the vessels, a history of tumors or other lesions, the presence of collateral vessels in the neck or elsewhere, and the anatomy of facial areas, may lead to an accurate differential diagnosis.
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