The Hair Follicle

dreamstime_s_9845503

 

The Hair Follicle is composed of four functional zones: The Hair Bulb, Suprabulbar Region, Isthmus and Infundibulum. It originates deep down in the dermis or subcutaneous tissue.

The Hair Bulb

This is the section of the hair follicle from which the hair shaft is developed. It consists of the Hair matrix cells, as well as melanocytes, (pigment forming cells),  which surround the Dermal Papilla. The Dermal Papilla contains all the blood vessels which carry the essential nutrients feeding the hair bulb. The matrix cells differentiate to become the different layers of the hair shaft, namely the cortex, medulla, and cuticle.  Those forming the hair cortex become further compacted forming hard keratin at a higher level. The matrix cells also form the Inner Root Sheath which  interlock with the outer layers of the cuticle forming a tight seal when the hair grows. The melanocytes produce melanin, (hair colour) which are incorporated into the developing cortical cells.

The Inner Root Sheath lies just outside of the outermost layer of the cuticle. It is composed of three layers- Cuticle, Huxley and Henle. The IRS cuticle  interacts with the cuticle of the hair shaft. The Huxley layer is just composed of cuboidal cells. The Henle layer  is composed of more elongated cells which start the process of keratinisation.

The Outer Root Sheath is also called the Trichelemma. It is separated from the IRS by the companion layer which allows the IRS to slide upward over the ORS during hair growth. It is covered by the Hyaline or Vitreous layer  which is continuous with the basement membrane surrounding the dermal papilla. Both the IRS and ORS are responsible for moulding the hair shaft as it migrates from the skin.

Suprabulbar Region

It is also called the Lower  Follicle. It lies above the bulb and below the isthmus. The Huxley and Henle layers become more prominent and keratinisation is in full swing at this point.

Isthmus        

It is bordered by the sebaceous gland on top and the insertion of the Arrector pili muscle, (an area called the Bulge) below. The IRS disappears at this level whilst the ORS begins to produce Trichelemmal keratin.

Infundibulum

Extends from the skin surface to the sevaceous duct. The Infundibulum is lined with the same kind of keratin which is continuous with the skin surface epidermis. Thus in injury, it helps to regrow the epidermis.

 

Question of the Month

questiontext

 

Good day, I’ve realized that I have immense breakage in my crown area as it is about 1/4 of an inch long in most areas (the rest of my hair is about 4-5″) and also the thinnest part of my hair even though the rest of my hair is very thick. I give it extra TLC everyday since my big chop in January to go back natural. I massage with castor and peppermint oil and do the LOC method along with taking vitamins and wearing my hair in protective twists (no hair added) which I take down weekly to shampoo and deep condition with natural products. I have ruled out it being genetic because no one else in my family has this problem and I have no fungal infection. I have no idea as to what else to do as I am at a loss and I am really hoping you can help.

 

answertext

 

Dear Crown Problem,
It is quite possible that you may be suffering from an early presentation of a hair disease called Central Centrifugal Cicatricial Alopecia. It is quite common in women who relax their hair or used to relax their hair, and it is suspected to be due to the relaxer setting up an inflammatory process resulting in that type of hair loss. Most times persons present with a shiny scalp in the area that you described, but there have been case series (1) on patients presenting with an early form where the centre of the scalp has markedly shorter hair and that portion of the scalp is extremely itchy.
occultccca
It is best that you go to a dermatologist to get a proper examination. It would also be good to get a scalp biopsy, (where they take a piece of the skin under local anaesthetic), in order to definitively arrive at a diagnosis.You may be placed on injected and topical anti-inflammatory agents (such as a cortisone) and oral antibiotics which help to reduce the inflammation.  The sooner you get this sorted, the better it will be for you. This is because the condition has a tendency to continue despite stopping relaxers.
1. Callendar V. et al. Hair Breakage as a presenting of Early or Occult Central Centrifugal Cicatricial Alopecia. Arch Dermatol 2012;148(9):1047-1052.

What is Hair?

skinstructure2

Hair is a dead appendage or outgrowth of skin. It is comprised of two parts, the hair root or follicle and the hair shaft. The hair shaft is composed of a protein called keratin which is produced by the hair follicle situated deep within the skin. The total number of hairs a person has is genetically predetermined and these hairs are present long before he/she is born.  Therefore,  hair is a precious commodity. Once lost by some scarring process, it is not possible to regenerate new hair. 

Hair grows in cycles to a genetically predetermined length. This is why eyelashes do not grow beyond a certain length. Scalp hair, on the other hand, can grow to great lengths if taken care of very well. The composition of hair is pretty constant, but its thickness, density,  strength, texture and colour are variable between individuals.

What makes hair so special, i.e. physiology, biology and chemistry will be looked at in the upcoming weeks.