Side Effects after Artificial Hair Implants: A case report
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Hair loss is a major problem for patients, and treatment of hair loss is a great challenge for doctors. The implant technique is a surgery technique, performed by either a manual implanter or an automatic machine, under local anesthesia.

A 27-year-old woman, with a history of alopecia since childhood and without desire for further investigation, started implantation with biocompatible fibers. No tolerance test was done initially. In total, 9000 fibers were implanted, distributed over 3 sessions. Her scalp became tender and erythematous after the third session of implantation. Patient turned back and on examination multiple, tender, erythematous nodules around the hairs were observed. Pus was observed draining from many scalp areas. Constant pain and itching of the scalp were present in this period, and, consequently patient experienced sleeping problems and had sick leave from work. Culture found no growth of pathogenic bacteria or fungus. A scalp biopsy specimen showed a nonnecrotizing granulomatous foreign-body reaction.

The scalp abscesses were reduced by injection of a single triamcinolone acetonide, 10 mg/mL, and the diffuse inflammation of the scalp was treated with topical mometasone. The treatment reduced pain and, together with an increased spontaneous fiber loss, resulted in the patient declining the opportunity of extraction.

source: https://www.jaadcasereports.org/article/S2352-5126(20)30416-1/fulltext
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