Hair and Nails

Review this page for diagnoses, investigations, red flags and top tips related to Hair and Nails.

A to Z of Hair and Nails Symptoms

Women are far more likely to present with this symptom than men, often for cosmetic reasons. The likeliest queries relate to normal nails that break easily or are not smooth. Other abnormalities may be detected during physical examination rather than being volunteered by the patient, and may indicate significant pathology.

This is defined as excess growth of terminal hair in women in male distribution sites (i.e. chin, cheeks, upper lip, lower abdomen and thighs). It presents as a cosmetic problem. Ethnic origin must be taken into account: Mediterraneans and Indians grow more than Nordics. Japanese, Chinese and American Indians grow the least. In the UK, according to surveys, up to 15% of women believe they have excess body hair, although only a minority present to the GP.

A distressing symptom for both genders: Young men may fret about self-image, and women are horrified at the cosmetic disaster unfolding. The psychological significance of increased hairfall is all too easy to overlook in a typical busy surgery. Take care to acknowledge that the problem is being taken seriously.

This might appear a mundane symptom to the GP, but it can cause the patient significant distress. It’s usually a welcome presentation, as it’s perceived as a quickie – one of those problems in which a brief examination can be performed at the same time as an equally brief history. This approach generally pays dividends, but the problem can sometimes be more complicated than it might at first appear.

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Website disclaimer

Pulse Reference is based on the best-selling book Symptom Sorter.

The experts behind Pulse Reference are Dr Keith Hopcroft who is the co-author of Symptom Sorter, a GP in Essex and Pulse’s editorial advisor and Dr Poppy Freeman, a GP in Camden and also a clinical advisor to Pulse.

This website is for clinical guidance only and cannot give definitive diagnostic information. Practitioners should work within the limits of their individual professional practice, seek guidance when necessary and refer appropriately.