ALOPECIA UNIVERSALIS REGROWTH SIGNS PATCH
ALOPECIA UNIVERSALIS REGROWTH SIGNS SERIES

Unusual pattern of hair loss, most commonly affecting the scalp and eyebrows. May present in childhood due to habit or in adolescence as a sign of underlying psychological issues. Impulse disorder with compulsion to pull or pluck hair. May present with patchy hair loss over the scalp in no specific pattern of distribution. Most commonly presents with frontotemporal hair loss. Long-standing, may cause scarring when chronic.ĭepends on hair care practice and use of hair products. 1,31įringe sign: retention hair along the frontotemporal hairline. 1ĭue to constant tension on the hair due to styling, ponytails, braiding, use of hair rollers and weaving. 1Īlopecia universalis: complete absence of hair on the scalp and the entire body, including eyebrows, eyelashes, underarms and pubic hair. 1Īlopecia totalis: complete absence of hair on the scalp. 1 Poor prognostic feature.ĭiffuse alopecia areata: generalised reduction in hair density over the entire scalp. Ophiasis alopecia areata: band-like pattern of hair loss, most commonly on the temporal or occipital regions. Reticular alopecia areata: irregular pattern in a net-like fashion (reticular).

Patchy alopecia areata: most common form, with oval and round patches. Nail changes (especially pitting and ridging) are common.

ALOPECIA UNIVERSALIS REGROWTH SIGNS PATCH

Typically a circular patch with normal-appearing scalp skin.ĭermoscopic features include exclamation point hairs, yellow dots and black dots.Ĭorrelation with atopic dermatitis, hypothyroidism, vitiligo. Patchy or confluent hair loss occurring on the scalp or any hair-bearing area of the body. Potential for scarring.įavus: infection with Trichophyton schoenleinii, perifollicular erythema and cup-shaped yellow crusts. Kerion: an inflammatory plaque with pustules, crusting and sinus drainage. Widespread scaling of the scalp with subtle hair loss. Patches of alopecia with black dots: black dots are broken hair follicles. Single or multiple scaly patches with alopecia: patches enlarge centrifugally over weeks to months. Most commonly scaly patches of alopecia or patches of alopecia with small black dots.Ĭervical and occipital lymphadenopathy may be seen in inflammatory cases.ĭermoscopic features include broken hairs, comma hairs and corkscrew hairs. Scarring alopecia and hair shaft abnormalities are less common and require further investigation by a dermatologist. This article will discuss the diagnosis and management of these conditions.

The most common causes of paediatric alopecia seen in general practice are listed in Table 1. Alopecia may be due to congenital or acquired conditions. The causes of paediatric alopecia include many common and uncommon conditions and syndromes. Referral to a dermatologist is necessary in cases when the diagnosis is uncertain, treatment is failing or there is evidence of scarring alopecia. It is important that parents are given clear information about the expected clinical course and prognosis. The clinical manifestation may be subtle or disfiguring and may lead to low self-esteem, depression and social isolation. Management of paediatric alopecia requires holistic care of the child, parents and any siblings. Additional pathological and laboratory investigations may be required after referral to a dermatologist.

2 The diagnosis is generally established through directed patient history, scalp and hair examination, trichoscopy and basic laboratory studies. The most common causes of paediatric alopecia are tinea capitis, alopecia areata, trauma secondary to traction or trichotillomania, and telogen effluvium. disorders of hair loss and aberrant hair growth.Hair loss disorders are a large, heterogeneous group of conditions that have various clinical features, pathological findings and expected outcomes.Īlopecia in children can be characterised as: Differentiation of alopecia due to benign causes from that due to serious illness is important for reducing patient and parent distress and offering adequate and prompt diagnosis and treatment. Hair loss in children aged 12 years and younger encompasses a number of common and rare conditions that may be congenital or acquired.

ALOPECIA UNIVERSALIS REGROWTH SIGNS SERIES

Articles in this series aim to provide information about diagnosis and management of presentations in infants, toddlers and pre-schoolers in general practice. This article is the fourth in a series on paediatric health.

Alopecia universalis regrowth signs