Year: 2018 I Volume: 1 I Issue: 2 I Page: 38-41

Comparison of Trichoscan Findings of Diffuse Hair Loss in Females Versus Controls

1 Department of Dermatology, Venereology and Leprosy, Government Medical College, Bhavnagar, Gujarat, India

Corresponding Author:
Dr. Prachi Chetankumar Gajjar
115, Dept. of Skin & V.D., Sir T. Hospital, Bhavnagar, Gujarat, India
Email: prachi93gajjar@gmail.com

How to cite this article:
Raiyani NM, Gajjar PC, Mehta HH, Jaiswal CSR. Comparison Of Trichoscan Findings Of Diffuse Hair Loss In Females Versus Controls. JDA Indian Journal of Clinical Dermatology 2018;1:38-41.


Introduction: Diffuse hair loss is a worrisome complain specially in females, commonly encountered in clinical dermatological practice. Trichoscan is a non-invasive method of hair analysis that is a combination of epiluminescencetrichoscopy and automatic image analysis system. In this study we analyzed 115 number of volunteer females.

Aim -To find association between clinical presentation and objective parameters found by trichoscan.

Method: All Participants went through detailed history taking, for grouping them under acute telogen effluvium, chronic telogen effluvium, patternhair loss (PHL) and control group. On day 0, scalp hair of approx 1 cm2 area were shaved to leave an approx 0.5 mm hair stump on the area 1 cm lateral to midline on a line joining highest point of pinna. On day 3, patient would undergo hair pull test, trichoscopy and trichoscan study. Trichoscan parameters like anagen:telogen ratio, density/cm2,vellus and terminal hairs were considered for analysis.

Statistical analysis : Raw data was analysed using appropriate one way ANOVAor Kruskal-Wallis Test followed by appropriate post-hoc test.

Results : The mean hair density/cm2 is lowest in PHLgroup with having significant difference with control (p<0.01), chronic and acute TE group (p<0.05). Anagen ratio is lowest in acute TE followed by chronic TE, PHLand control group. The terminal hair ratio is significantly low in PHLgroup as compared to control, acute and chronic TE groups. (p<0.001)

Conclusion : Trichoscan is easy useful tool for female hair analysis and satisfactorily used in differentiating PHL, acute telogen effluvium and normal.

Key Words- Trichoscan, Acute telogen effluvium, Chronic telogen effluvium, Pattern hair loss (PHL)

Introduction : Diffuse hair loss is a very common complaint encountered in clinical dermatological practice which can be acute or chronic. Diffuse hair loss is a very common complaint encountered in clinical dermatological practice. It includes various conditions like acute and chronic telogen Though females are less prone to get bald naturally, it is found to be more troublesome among themit found more troublesome among them.. It is noticed that female seek medical advice more than men. Any non-patchy hair loss appreciable to patient can be considered as diffuse hair loss. Various pattern of diffuse hair loss seen in female are: telogen effluvium, anagen effluvium, patterned hair loss (androgenetic alopecia), diffuse alopecia areata and other shaft disorders.1 Trichoscan is a unit containing epiluminescence surface microscopy and digital image analysis system.2,3 It is recently developed, computer assisted non-invasive method of assessment of hair biological peculiarities that is explained as user-friendly, time-saving and reproducible method.3,4

The aim of our study was to find out if there is any association between clinical presentation and objective measurements of hair biological parameters determined by trichoscan method.

Subjects and Methods:

After approval from the Institutional Review Board,total of 115 f e m a l e s v i s i t i n g t h e o u t p a t i e n t d e p a r t m e n t o f Dermatologyduring the period of one and half years were enrolled after written informed consent.We included the females between second and fifth age groups. Females with other dermatological scalp conditions like psoriasis, lichen planus, discoid lupus erythematosus, hair shaft abnormality and cicatricial alopecia as well as those who deny for consent were excluded from the study.All participants went through detailed history including associated dermatological and other systemic diseases and thorough scalp examination. This helped us furtherfor grouping them as-anagen effluvium, acute telogen effluvium, chronic telogen effluvium, patterned hair loss, diffuse alopecia areata and control group. But, we did not comeameacross cases of anagen effluvium and diffuse alopecia areata. Routine laboratory investigations like complete blood count,renal function test, liver function test, urine analysis, HbsAg, erythrocyte sedimentation rate and serum ferritin level were carried out. Thyroid function test and other respective investigations were done if required.

Scalp examination for trichoscan was carried out as belows:
On day one, scalp hairs of approximately1 cm2 area were trimmed to leave an approximately 0.5 mm hair stump. The area was fixed as -one cm lateral to midline on a line joining highest points of both pinna in all subjects to maintain the uniformity. Gross photographs were captured. All participants were called back after 48 hours with an instruction not to wash their hair during this period. The site was re-examined by putting contact mode dermoscope (Heine Delta 20 Plus P set, Germany) with polarized light that is attached with digital camera (Canon EOS 550 D Camera, Tokyo, Japan). After proper alignment the image was captured, saved and analysed with trichoscan software. This programme analyses 1.195 cm2 area and gives different hair parameters like density/cm2,anagen hairs (%), telogen hairs (%), density vellus hairs (per cm2), density terminal hairs (per cm2), ratio vellus hairs (%) and ratio terminal hairs (%)(Figure 1 and 2).

Figure 1: Example of the Trichoscan analysis of ATE

Click here to view

Figure 2: Example of the Trichoscan analysis of PHL

Click here to view

The principle of trichoscan is based on hair biologic characteristics like anagen hairs grows daily by approximately 0.3 mm while telogen hairs do not grow. Using this trichoscan c o u n t s , h a i r s w i t h l e n g t h o f > 0 . 7 m m w µ m w e r e consideredanagen and other non-growing hairs as telogen. This value of 0.7 mµm is manually adjustable. Black permanent hair colour (Streax hair colour) was used only in few persons with white hair to improve contrast between hair and scalp skin and only on the area to be examined with dermoscope. This was made possible by applyingmixture of cream and developer solution on examination area for 15 minutes in aproportion of 1:1 ratio with the help of a wooden spatula. Hair Pull Test(HPT)from area other than clipped hair was performed in all subjects. Pulled hairs were examined under microscope to confirm whether they areanagenor telogen hairs.Hair loss pattern werethen classified as: (1) Acute Telogen Effluvium (ATE) (2) Chronic Telogen Effluvium (CTE) (3) Patterned hair loss (PHL) and (4) C o n t r o l . P a t i e n t s c o m i n g f o r o t h e r d e r m a t o l o g i c a l conditions(excluding scalp), relatives accompanying the patients, hospital staff like nurse, medical students, technicians and other healthy volunteerswith normal hair cycle were included as controls.

Statistical analysis was done using Graph pad InStat software version 3.06. Raw data was put on normality test and data with Gaussian distribution like overall hair density and terminal hair density (per cm2) (Table 1) wereanalysed using oneway ANOVA while those with non-Gaussian distribution like anagen, telogen, vellus, terminal hair (%) and vellus hairs (per cm2) (Table 2) were analysed using Kruskal-Wallis test followed by appropriate post-hoc test. P value < 0.05 were accepted to be significant.

Table 1: Comparison of hair density and terminal hairs among different groups

Click here to view

Table 2: Comparison of Anagen, Telogen, Vellus and Terminal hairs among different groups

Click here to view


We enrolled total 115 females with age ranging between 13 to 50 years. The mean age of all with diffuse hair loss and control group were 28.9 ± 9.6 and 25.1 ± 7.6 years, respectively. The age-wise distribution was as follows: 35 (30.4%) in second decade, 39 (33.9%) in third decade, 27 (23.5%) in forth decade and 14 (12.2%) in fifth decade. We did not observe muchchanges in number of hairs per cm2, telogen hairs, vellus hairs or terminal hairs content with advancing age in any group.

In acute TE group, 45.5% cases showed positive hair pull test in whom duration of hair fall was less than or equal to two months. Specific triggering factors like febrile illness, major operative procedure and recovery from debilitating illness, etc. was identified from history only in 30.3% cases of acute TE and 17.9% cases of chronic TE.

Three out of 16 (18.8%) patients of PHL had positive family history of androgenetic alopecia. Only one participant of 16 from PHL group had clinical sign of hyperandrogenismcharacterised byexcessive hairs on upper lips and irregular menstruation.

The hair density was lowest in PHL group followed by CTE, ATE group and highest in control group with statistically significant difference between PHL and other three groups (Table 1). The control group showed highest anagen hair content(%) while acute TE group showed lowest. The percentage of telogen hairs was highest in acute TE groupfollowed by the chronic TE and PHL group while lowest in control group.Terminal hair count was significantly lower infemales with PHL compared to other groups (p <0.000). Vellus hair content was higher in PHL compared to other three groups though not significant (p < 0.3)( Table 2). We reclassified all the females with diffuse hair loss in two groups based on Hair pull test results as Hair pull test positive and Hair pull test negative. There was no significant difference in mean values of different trichoscan parameters between two groups. Average Telogen hair count was slightly higher in females with positive HPT while average anagen hair count was slightly lower in HPT positive group (Table 3).

Table 3: Values of parameters between groups made as per Hair Pull Test results.

Click here to view

Serum ferritin level was done in 106 subjects. Low serum ferritin level (<11 ng/ml) was found in 40.6% (43) subjects. Eight out of 24 subjects in control group had low serum ferritin.


Diffuse hair loss is defined as acute or chronic generalised thinning of hairs from the scalp. It includes various conditions like acute and chronic telogen effluvium, anagen effluvium, pattern hair loss and diffuse alopecia areata. Of them, telogen effluvium is the most common encountered form of diffuse hair loss which is similar to our observation.5 It is difficult to monitor the therapy of hair loss. Previously, dermatologist used to measure the hair length and diameter manually, but it is very tedious and is subjected to subjective variation. Though, invasive procedure like scalp biopsy is standard for measuring the anagen: telogen ratio and for diagnosing hair disorders but in every follow up, patient would not get convinced for biopsy to monitor the therapy. Also patient would feel discomfort for hair pulling in semi invasive methods like trichogram and unit area trichogram. Other non invasive hair evaluation methods like global hair count, hair weight test and daily hair count are prone to manual errors and often results are not reproducible. 2,3,5

So, a reliable,non invasive, safe, easy and OPD tool is required to assess the biological hair parameters.Trichoscan, introduced in 2001 is a novel, handy, non- invasive, reproducible, easy, validated and investigator independent automated image analyser which is a computer based video dermatoscopy which identifies anagen, telogen, terminal, vellus hairs and hair density.3,5 One validation trial conducted proved excellent correlation between hair parameter results analysed by trichoscan and manually.6

There is no defined or fixed normal value for hair density as there are differences according to race and genetic constitution.In the review of various studies, Rushton et al. demonstrated hair density as average 181 hairs/cm2 by phototrichogram and 237 hairs/cm2 by unit area trichogram in female subjects.7 Saraogiet al., found hair density 291.3/cm2 in normal control females and in study by Aktanet al., mean hair density of healthy volunteers was found to be 141.7 hairs/cm2 by Trichoscan while it was 212.8 hairs/cm2 by photomacrographs.8,9 Birch et al., detected hair density of 293 hairs/cm2 on using photomacrographs.10 In our study we found hair density of 277.9 ± 51.8 hairs/cm2 in control group (Table 1, Figure 3).3

Figure 3: Bar chart showing comparison of hair densities in control groups of different studies

Click here to view

Acute telogen effluvium is defined as diffuse hair loss occurring from all over scalp around 6 weeks to 3 months of inciting event and have self-limiting course. If precipitating event is repeated or continued, hair loss may persist for more than 6 months and considered under chronic telogen effluvium. CTE was first described by Whiting DA in 1996 as idiopathic telogen hair loss primarily affecting middle-aged women, having long fluctuating course and diffuse hair shedding that may show bitemporal thinning.11Other secondary causes of chronic telogen shedding l i k e t h y r o i d d y s f u n c t i o n , i r o n d e fi c i e n c y a n e m i a , acrodermatitisenteropathica and others were known.12,13In our study, ATE and CTE group did not show any statistically significant difference in trichoscan parameters. Hair density and terminal hair density (per cm2) were higher in ATE group than CTE while terminal and vellus hair ratio wasfound to be almost similar (Table 1, 2).

A study by Haticeet al. showed statistically significant difference in the hair density and terminal hairs between the TE group and PHL.5 In our study also, we found similar results for hair density and terminal hairs (p<0.05 and <0.001 respectively) in the acute TE and PHL group. We observed slight difference of hair density between chronic TE and PHL group (Table 1). Thus, it can be said that clinical dilemma of differentiation of chronic telogen effluvium and patterned hair loss does not completely resolve with trichoscan.

Sinclair et al., in their using punch biopsy for differentiation between chronic telogen effluvium and PHL the ratio of terminal hairs to vellus hairs (T:V) >8:1 in CTE and 4:1 in PHL.14In contrast to these findings, in our study carried out by trichoscan, we calculated the Terminal : vellus hair ratio to be 4:1 in CTE group and 3:1 in PHL group (Table 2 ). The trichoscopic features diagnostic for PHL are variation in hair shaft diameter due to miniaturization of hair follicle, peripilar sign, single hair bearing follicles, focal areas of atrichia and yellow dots while telogen effluvium is a diagnosis of exclusion (Figure 4).

Figure 4: Dermoscopic features of Female androgenic alopecia: miniaturized hair follicles (arrow), variation in hair shaft diameter, single hair bearing follicles and yellow dots (arrow head).

Click here to view

Decreased hair density and follicular units with single hair in the absence of characteristic signs of other causes of alopecia is considered to support clinical diagnosis of telogen effluvium.15,16 Scrutiny of trichoscopic images in our study lead to a perception that few images from telogen effluvium group showed thin hairs with equal diameter in contrast to PHL group where it showed thinned hairs with varyingdiameters.

Hair pull test which is used to determine disease activity is found to be positive during active shedding phase of both telogen effluvium and anagen effluvium.17Interesting finding noted in our study that the test is positive in cases of early androgenetic alopecia at the areas of thinningwhile negative at occipital area.There was no any statistically significant difference in telogen hairs (%) found between HPT positive PHL subjects and HPT negative PHL subjects in contradictory to that found by Haticeet al(Table 3).5 Earlier in a study by Van Nesteet al. with contrast-enhanced phototrichogram method, it was showed that increase in age and duration of complain were associated with decreased hair density in females with ludwig pattern hair loss.18 Here, our observation showed no relation of hair density with patient’s age and duration of hair loss unlike the inference made by Aktanet al.9

There are few studies which suggest relation between serum ferritin level and hair loss. Ideal ferritin level was considered to be at least40 ng/ml for healthy hair growth.19 We found very low values of serum ferritin among cases and contols,all groups, where only 6.6% (7 out of 106) showed normal range. There was no any difference in the values of serum ferritin among study groups. No association between serum ferritin level and density of hairs per cm2, anagen (%), telogen (%) and terminal hairs per cm2 were noticed in our study.


Limitations of the study design includes limited sample size for controls and PHL group.Our study is confined to a single centre. Few limitations experienced during procedure and the software are mentioned as below: 1) Crossing of two hair strands lead to false counting yielding higher telogen ratio 2) If the hair is cut very short, near to scalp surface it may not be detected by the software 3) Very thin hairs escape from the counting. These can be overcome by avoiding the processing of this kind of images. Similar errors are also mentioned by Saraogiet al.8


Trichoscan, being a non-invasive and simple office procedure, has a scope for use in routine OPD for evaluation of hair loss if the limitations of procedure are meticulously taken care off. It can be used satisfactorily in differentiating acute telogen effluvium, patterned hair loss and normal hairs. In cases of clinical conundrum, trichoscanalong with dermoscopic confirmation of condition will further allow clinician to manage patients with disease specific treatment and prognosis. Trichoscan as part of evaluation, gives psychological satisfaction to the patient which may lead to improved compliance with treatment prescribed by the physician.3,5


1. Disease of Skin Appendages, In: William DJ, Timothy GB, Dirk ME, Issac MN, editors. Andrew’s Diseases of the Skin – clinical dermatology. 12th ed. Elsevier publication; 2015. p. 747-749.

2. Hoffman R. Trichoscan: combining epiluminescence microscopy with digital image analysis for the measurement of hair growth in vivo. Eur J Dermatol 2001; 11: 362-368.

3. Hoffman R. Trichoscan: A novel tool for the analysis of hair growth in vivo. J Invest DermatolSympProc 2003; 8: 109-115.

4. Singal A, Sonthalia S, Verma P. Female pattern hair loss. Indian J DermatolVenereolLeprol 2013;79: 626-640.

5. Hatice UCE ÖZKOL, Ömer ÇALKA, Necmettin AKDENIZ. Is TrichoScan a new diagnostic method for diffuse hair loss? Turk J Med Sci (2014) 44: 432-438.

6. Gassmueller J., Rowold E., Frase T., Hughes-Formella B. Validation of TrichoScan® technology as a fully-automated tool for evaluation of hair growth parameters. Eur J Dermatol 2009; 19 (3): 224-231

7. Rushton DH, Ramsey ID, James KC. Biochemical and trichological characterization of diffuse alopecia in women.Br J Dermatol 1990; 123: 187–197.

8. Saraogi PP, Dhurat RS. Automated Digital Image Analysis (TrichoScan®) for Human Hair Growth Analysis: Ease versus Errors. Int J Trichology. 2010 JanJun; 2(1): 5–13.

9. Aktan S, Akarsu S, Ilknur T, Demirtasoglu M, Ozkan S. Quanti?cation of female pattern hair loss: A study in a Turkish population. Eur J Dermatol. 2007;17:321–324.

10. Birch MP, Messenger JF, Messenger AG. Hair density, hair diameter and the prevalence of female pattern loss. Br J Dermatol2001; 144: 297-304.

11. Whiting DA. Chronic telogen ef?uvium: Increased scalp hair shedding in middleaged women. JAm AcadDermatol 1996;35: 899-906.

12. G r o v e r C , K h u r a n a A . Te l o g e n e f ? u v i u m . I n d i a n J DermatolVenereolLeprol 2013;79:591-603

13. Dawber RPR, Simpson NB, Barth JH. Diffuse alopecia: Endocrine, metabolic and chemical in?uences on the follicular cycle. In: Dawber RP, editor. Diseases of the Hair and Scalp. Oxford: Blackwell Science;1997. p. 123-150.

14. Sinclair RD, Jolley D, Mallari R, Magee J. The reliability of horizontally sectioned scalp biopsies in the diagnosis of chronic diffuse telogen hair loss in women. J Am AcadDermatol 2004; 51: 189–199.

15. Jain N, Doshi B, Khopkar U. Trichoscopy in alopecias: diagnosis simpli?ed. Int J Trichology 2013;5: 170-178.

16. Rudnicka L, Olszewska M, Rakowska A, Slowinska M. Trichoscopy update 2011. J Dermatol Case Rep. 2011;5: 82–88.

17. Dhurat R. Saraogi P. Hair Evaluation Methods: Merits and Demerits. .Int J Trichology. 2009 Jul-Dec;1(2): 108–119.

18. Van Neste D. Female patients complaining about hair loss: documentation of defective scalp hair dynamics with contrast-enhanced phototrichogram. SkinResTechnol2006;12: 83-88.

19. Harrison S, Sinclair R. Telogen ef?uvium. ClinExpDermatol 2002; 27: 389–395.

21,038 comments on “Original-article1-year-2018

  1. I blog quite often and I truly thank you for your information. Your article has truly peaked my interest. I am going to take a note of your blog and keep checking for new details about once per week. I subscribed to your Feed as well.

  2. Varsa Paran, Koy Kazan Güvenli, çapkın ve 24 ayarda bir oyun deneyimine hazır mısın? Canlı bahis, canlı casino, canlı olduğunu hissetmen için gereken her şey. Sabah akşam, Hovarda olmak istediğin her an, bilgisayar, tablet, akıllı TV ve mobil cihazlarından yerini al. Canlı Bahis ve Casinonun Hovarda dünyasına hoşgeldin.

  3. Casibom güncel giriş adresi değişim adımları konusunda kullanıcılar sorunsuz şekilde bilgilendirilecektir. Bu noktada kişilerin siteye kayıt aşamasında vermiş olduğu iletişim numaraları üzerinden bilgilendirme tamamlanacaktır. Bu numaraların doğru verilmesinin ne derece önemli olduğu bir kere daha anlaşılmaktadır. Kullanıcıların alan adı değişiminden sosyal medya sitelerini kullanarak da haberdar olmasına imkan verilmektedir. Instagram, Telegram mesajlaşma uygulaması ya da Twitter üzerinden de bilgilendirme sağlanmaktadır. Kullanıcıların domain adresi değişimi sebebi ile mağdur olmalarına kesinlikle izin verilmeyecektir. Kullanıcıların siteye dair yaptıkları tüm yorumlara da sosyal medya platformları üzerinden erişebilirsiniz. Kullanıcıların ne düşündükleri, alan adı değişimi, bahis olanakları ve çok daha fazlası ile alakalı yapılan yorumlar, sosyal medya üzerinden erişime açıktır. Siz de yorumlarınızı ve görüşlerinizi anında iletebilirsiniz.

  4. Gerektiğinde gecelik görüşebilen sizin isteğinize göre saatlik ya da tek seans şeklinde de randevular veren esma yada sarışın güzeller kalite standartlarını çok yüksek tutuyor sağlıklı ilişkileri ile sizi güvenilir koşullarda misafir ederek mutlu ediyor. Elit kadınlara güvenin onlarla beraber harika ucuz girls ilişkileri yaşamak için harekete geçin. Enerji dolu seks ilişkileri paylaşan dinamik üniversiteli genç kızlarda Kayseri escort platformu içerisinde sizin için üyelik oluşturdu. Eve gelen ve otele gelen seçenekleri ile bu kızlardan randevu alabilir sınırsız seks ayrıcalığını onlarla beraber yaşayabilir hatta anal ve cimcif ilişkilerde de buluşabilirsiniz.

  5. Отличная цена!
    Тяговые АКБ купить https://ab-resurs.ru/region/tyagovye-akkumulyatory-v-bereznikah/
    Тяговые необслуживаемые герметизированные аккумуляторные батареи с трубчатыми положительными пластинами тип PzV, с гибкими медными межэлементными коннекторами с полной электроэзоляцией, на болтовом соединении технологии Dryfit.
    Эксплуатационные характеристики, емкость и габариты – главные факторы, влияющие на цену той или иной модели тяговых элементов питания. Наряду с этим на цену нередко влияет происхождение АКБ (страна-производитель) и новизна модели. Мы предлагаем выгодные цены и оптимальное соотношение стоимости и качества аккумуляторных батарей в нескольких ценовых категориях:
    Все в наличии


  6. Türkiye’nin en güçlü disk yapısını kullanmamızdaki ana sebep hızlı ve sorunsuz bir sanal sunucu hizmeti almanıza olanak sağlamak

  7. hosting,alan adı, dedicated,sanal sunucu performans, hız, kalite olarak en iyi sağlayan firmayız.

  8. Купить тяговые аккумуляторы
    Аккумуляторные батареи могут работать в трех режимах:
    Тяговая аккумуляторная батарея 36V 1020 Ah для погрузчика Yale ERC040RG M2901808525B Тяговые аккумуляторы 36V V 1020 Ah 80 900 руб.


  9. Online bir bahis sitesi olarak Betroad popüler bahis platformlarından biridir. Site yönetimi online mecrada üyelerini eğlendirmeye ve kazandırmaya devam …

  10. Türkiyenin Discount Casino sitesi, bonus kampanyaları, giriş linkleri, yeni adres ve güncel linkler, nakit iade ve freespinler bu sitededir.

  11. Casino Metropol Bloğu. Türkiye’nin en iyi, en eski ve aynı zamanda en çok kazandıran Canlı Casino sitesi Casino Metropol hakkında tüm güncel bonus …

  12. Hovarda online bahis ve casino oynama sitesi Türkiye’de en fazla tercih edilen sitelerin arasında gelerek kullanıcılarına kendi yaptığı etkinliklerle ön …

  13. Jet Bahis Jeton Cüzdan ile Para Çekemeyince Ne Yapılır? Jetbahis Kazandıran Kampanyalar. Jetbahis 1.000 TL’ye kadar % 100 Hoş Geldin Bonusu; Jetbahis Deneme …

  14. Casino Maxi, Avrupa’nın en popüler casino oyun portalıdır, bu site kullanıcıların yorum ve tecrübelerini paylaştığı bir fan sitesidir.

  15. Wow that was odd. I just wrote an incredibly long comment but after I clicked submit
    my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyways, just wanted to say great blog!

  16. Hi there, I discovered your blog via Google even as searching for a similar subject, your
    site came up, it appears to be like great. I have bookmarked
    it in my google bookmarks.
    Hi there, just changed into alert to your weblog through Google, and located that it is really informative.
    I’m gonna be careful for brussels. I will appreciate when you continue this in future.

    Numerous other folks will probably be benefited out of your
    writing. Cheers!

  17. This design is incredible! You definitely know how to keep a reader entertained.

    Between your wit and your videos, I was almost moved to
    start my own blog (well, almost…HaHa!) Wonderful job.
    I really loved what you had to say, and more than that, how you presented it.
    Too cool!

  18. Today, I went to the beach with my children. I
    found a sea shell and gave it to my 4 year
    old daughter and said “You can hear the ocean if you put this to your ear.”
    She put the shell to her ear and screamed. There was a hermit
    crab inside and it pinched her ear. She never wants to go back!

    LoL I know this is totally off topic but I had to tell someone!

  19. I really like your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to
    do it for you? Plz answer back as I’m looking to design my own blog and
    would like to find out where u got this from.

  20. It’s awesome to visit this site and reading the views of
    all colleagues on the topic of this piece of writing, while I am also zealous of getting knowledge.

  21. I was curious if you ever thought of changing the layout of your website?
    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect
    with it better. Youve got an awful lot of text for only having one or 2 images.
    Maybe you could space it out better?

  22. Cool porn video, I share with you!

    Cuckold – A man watches or jerks off at how his wife is being fucked.
    Topless – porn with women who only bare their tits.
    Ass-Butts – videos of this genre pay special attention to butts. A lot of this genre of porn is filmed in Brazil. In the Assjob genre, women stick a man’s penis between their buns and jerk off.
    Bride – fetish porn where brides get fucked.
    Pregnant – sex with pregnant women.

  23. An impressive share! I’ve just forwarded this onto a
    coworker who had been doing a little research on this.
    And he in fact bought me breakfast simply because I found it for him…
    lol. So let me reword this…. Thank YOU for the meal!!

    But yeah, thanx for spending time to discuss this subject
    here on your internet site.

  24. Mersin web tasarım alanında hizmet veren nosa yazılım ögrencilerle buluşma sağladı.

  25. You actually make it seem so easy with your presentation but I
    find this topic to be really something that I think I would never understand.
    It seems too complex and very broad for me. I’m looking forward for
    your next post, I will try to get the hang of it!

  26. Viewing pornography is the favorite pastime of not only pimply nerds, even hardened married men and even women jerk off to porn.

    This is porn you will like https://exporntoons.net/watch/-150116356_456239192

    For me, at that very moment, a sexy lady had her soft small hands all over my body and my cock was now starting to hurt. That is when it happened. My mom took her hands away briefly while she applied more lotion to her hands. She said she knew she had caused my erection and she was going to help me with it.

  27. What you published made a ton of sense. But, consider this,
    suppose you wrote a catchier title? I am not saying your information isn’t solid,
    but suppose you added a headline that grabbed folk’s attention? I mean Original-article1-year-2018 – Indian Journal Of Clinical Dermatology is kinda plain. You ought
    to peek at Yahoo’s home page and note how they create news titles to get people to open the
    links. You might add a related video or a related pic or two to grab people interested about what you’ve written. Just my opinion, it might bring your posts a little livelier.

  28. Asking questions are in fact fastidious thing if you are not
    understanding anything completely, except this post provides fastidious understanding yet.

  29. Gayemiz günümüz internet çağına ayak uydurarak sizlere en hızlı ve güncel şekilde ulaşılmasını sağlamaktır.Tanrıverdi Tarım yeni yönetim kadrosu ile sizlere hizmet sunmaktan onur duyar.

  30. My partner and I absolutely love your blog and find most of
    your post’s to be just what I’m looking for. Do you offer guest writers to
    write content for you? I wouldn’t mind publishing a post or elaborating on a lot of
    the subjects you write about here. Again, awesome site!

  31. This is porn you will like https://mat6tube.com/watch/-141349904_456246359
    Boobs – porn in which actresses have boobs of 3-4 sizes. 80% of the actresses of this genre have silicone.
    CFNM (clothed female, naked male) – clothed girls jerk off a naked guy.
    BBW (Big Beautiful Women) – porn with fat, but a nice fuck.

  32. Akrilik Cami Halısı Cami Halısı ve duvardan duvara halılarda bir marka olan Elifnur Cami Halıları kurulduğu günden bu yana müşteri memnuniyeti ilkesi ile cami ve cemaatlerimizin beklentileri ve talepleri doğrultusunda en son teknolojiyi kullanarak sağlıklı, hijyenik, kaliteli ve istenilen özellikte Akrilik Cami Halısı, Yün Cami Halısı ürün seçenekleri ile saflı cami halısı, seccadeli cami halısı, göbekli cami halısı modellerinde hizmet sunmaktadır. child porn 現場兒童色情片 活婴儿色情片 儿童色情 児童ポルノ 兒童色情 看兒童色情片 看兒童色情片

  33. Cami Halısı Size ” ÖZEL ” Cami Halısı imalatı…Antalya, Isparta ve Burdur merkezleri ve köylerine en hızlı hizmeti veriyoruz. Saflı, Göbekli, Mihraplı Halılar 0 Akrilik Cami Halısı onlarca farklı model seçeneklerimiz mevcuttur. İstediğiniz modeli Whatsapp veya mail ile bize gönderin, sizi arayalım. Biltekin Halı güvencesiyle en kaliteli ve en uygun cami halısı metrekare fiyatları ile hizmetinizdeyiz. child porn 現場兒童色情片 活婴儿色情片 儿童色情 児童ポルノ 兒童色情 看兒童色情片 看兒童色情片

  34. En Kaliteli Cami Halısı ÇeşitleriFirmamızın üretim portföyünde bulunan cami halılarına göz atıldığında birbirinden farklı üretim tarzları devreye sokulmaktadır. Eğer camilerde hijyen standartlarının maksimum seviyede olmasını istiyorsanız firmamız tarafından üretilen yün halılar oldukça idealdir. Yün halılarımızda kesinlikle akrilik, elyaf veya tabak yünü dediğimiz malzemeler kullanılmamaktadır. Saf yapak yünü kullanılarak imal edilen halılarımız, tercih edildiğinde Yeni Zelanda yününden de üretilebilmektedir. Tercih edilmiş olan yün türü fabrikaya getirildikten sonra sıcak su ile yıkama işlemi gerçekleştirilip, kurutulmakta ve daha sonra yünün boyanması aşamasına geçilmektedir. Günün boyanmasında oldukça hassas davranmakta olan Sönmez Halı, ithal edilmiş olan metal kompleks boyalar kullanıp insan ve çevre sağlığına duyarlı ürünlere yönelmektedir. Ayrıca kullanmış olduğumuz yünlerde antikanserojen özellik dikkat çekerken ışık hassasiyeti de oldukça maksimum seviyelerde yer almaktadır. Bu durum halının rengini ve dokusunu aynı zamanda canlı olan formunu uzun süre muhafaza edebilmesini sağlarken güneş ışığı karşısındaki deformasyonun da önüne geçilmektedi child porn 現場兒童色情片 活婴儿色情片 儿童色情 児童ポルノ 兒童色情 看兒童色情片

  35. Yün Cami Halısı Tavus Halı olarak sizlerin beğenisine sunduğumuz yün cami halılarımız 0 saf yünden yapılmakta olup kaliteli bir işçiliği de sizlere sunmaktadır. child porn 現場兒童色情片 活婴儿色情片 儿童色情 児童ポルノ 兒童色情 看兒童色情片 看兒童色情片

  36. Cami zeminlerinizi 15 yıllık tecrübe birikimimizle en kaliteli marka ve halılarla döşüyor, zerafet ve şıklığı cami zeminlerinize yansıtıyoruz.兒童色情

  37. Вилочные штабелёры в наличии

    Особенности самостоятельного выбора погрузчика вилочного типа для эксплуатации
    Грузоподъёмность таких тележек может достигать 3т, а высота подъёма 200 мм.
    Четырехколесный электрический погрузчик REDDOT
    моторизованные тележки для поддонов, которые представляют собой моторизованные версии стеллажей для поддонов;
    Вилочный погрузчик, штабелер

  38. বাংলা প্রশ্ন উত্তর সাইট তল্লাশি, আজই আপনার সমস্যা নিয়ে প্রশ্ন করুন , অভিজ্ঞ ব্যক্তিগন আপনার প্রশ্নের উত্তর দিয়ে সহযোগিতা করবে । তাছাড়াও অন্যাদের প্রশ্নের উত্তর দিয়ে, জিতে নিন আকর্ষণীয় পুরস্কার । তল্লাশিতে যেকোনো বিষয়ে প্রশ্ন করতে পারেন।।

  39. Тяговые батареи купить
    Проверить качество аккумуляторной батареи при покупке практически невозможно. С помощью специального устройства – нагрузочной вилки* можно проверить работоспособность (напряжение) нового АКБ, но не более. Тестирование аккумуляторной батареи в специализированных центрах – более надёжный способ проверки АКБ и может дать ответ на вопрос, как долго сможет проработать новый аккумулятор на одной зарядке, т.е. соответствует ли ёмкость АКБ паспортным данным. Тем не менее, тестирование не сможет ответить на другой, пожалуй, главный вопрос – соответствует ли ресурс АКБ, заявленному в технической документации.
    5 Избегайте перегрева аккумулятора и старайтесь оставлять вашу технику в прохладном или тенистом месте, избегая нагрева из-за попадания прямых солнечных лучей.

  40. В сравнении с классическими тяговыми свинцовыми аккумуляторами они имеют ряд очевидных преимуществ:
    напряжением 48 В (48V) — от 179 000 рублей;
    Всегда в наличии!
    Тяговая АКБ цена
    Доставка в любой регион России!
    Купить тяговые батареи в компании знаит обеспецить свое производство лучшей техникой от компании, которая гарантирует не только каяественные тяговые аккумуляторы, но и постоянную поддержку своих клиентов.
    Тяговые свинцово-кислотные аккумуляторные батареи широко применяют на предприятиях с повышенными требованиями к экологии: специализирующиеся на производстве детского питания, фармакологические предприятия и др.
    Не секрет, что качественный товар от известного бренда будет стоить несколько выше, чем продукт малоизвестной компании.
    Тяговые свинцово-кислотные панцирные аккумуляторные батареи с трубчатыми положительными пластинами тип PzS, с гибкими медными межэлементными коннекторами с полной электроэзоляцией, на болтовом соединении.