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Mohamed Amer, Afaf Helmy, Amin Amer
Trichoscopy corresponds to the scalp, and hair dermoscopy has been increasingly used as an aid in the diagnosis, follow-up, and prognosis of hair disorders. Trichoscopy represents a valuable link between clinical and histological diagnosis. Tinea capitis (TC) and alopecia areata (AA) are considered the most common causes of hairless patches of the scalp in pediatrics. TC may have the same clinical appearance of AA, so dermoscopy has recently become a useful diagnostic tool for AA and TC, particularly in doubtful cases...
September 22, 2016: International Journal of Dermatology
Michela Starace, Annalisa Patrizi, Bianca Maria Piraccini
Erosive pustular dermatitis of the scalp (EPDS) typically affects elderly people with scarring alopecia. Videodermoscopy (VD) of the scalp has never been assessed in the diagnosis of EPDS. To evaluate the trichoscopy features of EPDS, we carried out a retrospective analysis of VD images obtained in the scalp of ten patients who affected by EPDS and were compared with those obtained from a series of thirty patients who affected by other type of scarring alopecia. The most specific VD feature was thus represented by evident hair bulb in the scarring scalp, observed in all patients...
April 2016: International Journal of Trichology
Francine Papaiordanou, Bruno Rebelo Lages da Silveira, Juan Piñeiro-Maceira, Rodrigo Pirmez
Pressure-induced alopecia is an unusual cause of hair loss, and reports of its trichoscopic features are scarce. In this paper, we describe a case of pressure-induced alopecia in which trichoscopic and histopathological findings overlap with those described for alopecia areata.
April 2016: International Journal of Trichology
S S Martins, L S Abraham, I Doche, B M Piraccini, C Vincenzi, A Tosti
Acute hair matting (AHM) is a rare condition presenting as a compact mass with irregular twists and severely entangled hairs abruptly formed in the scalp. First reported as "plica neuropathica" by Le Page in 1884, the condition was thought to be due to hysteria(1) . However, the term "plica polonica" was also very prevalent in Poland in the 19(th) century, when the polish custom of wearing tight fur caps and not washing the hair contributed to a filthy and malodorous compact mass, usually associated with lice infection and inflammation in the scalp (2) ...
August 31, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Jimyung Seo, Jae Won Lee, Min Ju Choi, Suhyun Cho, Do Young Kim
Because localized alopecia areata (AA) can resolve spontaneously, continuing treatment until hair loss stops may be a reasonable approach for managing the disease. Disease activity and progression of AA are readily discernable by the hair pull test (HPT).(1) However, HPT results can vary, depending upon the physician's skill and patient's condition. Inui et al.(2) identified characteristic trichoscopic findings of active AA: black dots, exclamation mark hairs, and broken hairs. In this study, we evaluated serial trichoscopy versus modified HPT for monitoring localized AA...
August 24, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Asmahen Souissi, Azima Ben Tanfous, Haifa Azzouz, Mehdi Karray, Mohamed Zghal, Dalenda El Euch, Ines Zaraa, Slim Haouet, Mourad Mokni
No abstract text is available yet for this article.
July 15, 2016: International Journal of Dermatology
Anna Elisa Verzì, Francesco Lacarrubba, Giuseppe Micali
Affordable (USD ∼30) handheld USB digital microscopes, or videomicroscopes (VMs), that provide ×10-200 magnification are available on the web for nonmedical uses such as in botany, entomology, microelectronics or, recently, for hair/scalp evaluation. The aim of this study was to compare the reliability of low-cost VMs versus standard, medically marketed videodermatoscopes (VDs) in trichoscopy. Twenty-five patients affected by different types of hair loss were enrolled in a controlled, blinded noninferiority trial...
May 2016: Skin Appendage Disorders
Minu Jose Chiramel, Vinod Kumar Sharma, Sujay Khandpur, Vishnubhatla Sreenivas
BACKGROUND: Trichoscopy is an office tool used in the diagnosis of alopecia but its utility has not been assessed. OBJECTIVES: To compare the trichoscopic characteristics of different types of alopecia, identify features of diagnostic value, and to determine the utility of trichoscopy in the diagnosis of alopecia. METHODS: A descriptive cross-sectional study was performed in patients with alopecia. After clinical assessment and relevant investigations, trichoscopy was performed using a non-polarized trichoscope (×10)...
November 2016: Indian Journal of Dermatology, Venereology and Leprology
Giulia Liberati, Michela Starace, Annalisa Patrizi, Bianca Maria Piraccini
A 4-day-old boy was referred for evaluation of an oval patch of occipital alopecia associated with caput succedaneum and ipsilateral eyelid ecchymoses. Based on the history of a prolonged, difficult labor with vacuum-assisted delivery, the diagnosis of neonatal alopecia associated with birth trauma was made. Trichoscopy showed purple dots corresponding to blood extravasation and follicular ostia. We also review the trichoscopic differential diagnosis of focal neonatal alopecia.
July 2016: Pediatric Dermatology
Marco Ardigò, Marina Agozzino, Chiara Franceschini, Carlo Donadio, Leonardo Spagnol Abraham, Luca Barbieri, Isabella Sperduti, Enzo Berardesca, Salvador González
Clinical management of alopecia represents one of the major issues in dermatology. Scalp biopsies are not easily accepted because of the high bleeding and sensitive anatomical area. Trichoscopy is routinely used for diagnosis of alopecia, but in several cases lack to provide sufficient information on the status of the disease. Recently, reflectance confocal microscopy demonstrated its usefulness for the evaluation of several inflammatory skin condition and preliminary reports about alopecia have been proposed in the literature...
July 2016: Archives of Dermatological Research
Leslie Castelo-Soccio
PURPOSE OF REVIEW: Hair loss is common in infants and children and the ability to distinguish why a child is losing hair enables providers to distinguish hair loss that is related to infection, autoimmune conditions, nutrition, medications, trauma/traction, or underlying genetic disorders such as ectodermal dysplasias. Making these distinctions leads to best management and guidance for patients and their families. RECENT FINDINGS: Careful physical examination of the hair, scalp, skin, and nails coupled with dermoscopy or trichoscopy, or both, can yield more accurate and faster diagnosis...
August 2016: Current Opinion in Pediatrics
Federica Dall'Oglio, Francesco Lacarrubba, Anna Elisa Verzì, Giuseppe Micali
PURPOSE: The aim of this study was to assess the efficacy and tolerability of a combination noncorticosteroid, antiinflammatory/antifungal shampoo versus 1% ketoconazole shampoo in the treatment of mild-to-moderate scalp seborrheic dermatitis (SD). PROCEDURES: Twenty patients were randomized to using the combination shampoo (group A, 10 patients) or the 1% ketoconazole shampoo (group B, 10 patients) 3 times a week every other day for 8 weeks. Efficacy was evaluated by measuring the degree of scaling and pruritus by clinical and trichoscopic examination using a 4-point scale...
February 2016: Skin Appendage Disorders
Mariya Miteva, Antonella Tosti
BACKGROUND: 'Flame hairs' is a trichoscopic feature described as hair residue from pulling anagen hairs in trichotillomania. OBJECTIVE: To detect whether flame hairs are present in other hair loss disorders. METHODS: We retrospectively, independently and blindly reviewed the trichoscopic images of 454 consecutive patients with alopecia areata (99 cases), trichotillomania (n = 20), acute chemotherapy-induced alopecia (n = 6), acute radiotherapy-induced alopecia (n = 2), tinea capitis (n = 13), lichen planopilaris (n = 33), frontal fibrosing alopecia (n = 60), discoid lupus erythematosus (n = 30), dissecting cellulitis (n = 11), central centrifugal cicatricial alopecia (n = 94) and traction alopecia (n = 86) for the presence of flame hairs...
September 2015: Skin Appendage Disorders
Balachandra S Ankad, Savitha L Beergouder, Vijay Domble
INTRODUCTION: Nevus sebaceous (NS) presents as alopecia and yellowish discoloration during infantile stage. In adult stage, lesions become verrucous. Importantly, various appendageal tumors such as trichoblastoma, syringocystadenoma papilliferum and basal cell carcinoma develop during this stage. Hence it is very important to follow the course of NS for early detection of neoplasms. Trichoscopy, being in vivo diagnostic technique, can be utilized in this condition. as it demonstrates specific trichoscopic patterns...
January 2016: International Journal of Trichology
Francesco Borgia, Roberta Giuffrida, Maria Lentini, Rosaria Palazzo, Serafinella P CANNAVò
No abstract text is available yet for this article.
April 2016: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
Robabeh Abedini, Kambiz Kamyab Hesari, Maryam Daneshpazhooh, Mahshid Sadat Ansari, Hamid Reza Tohidinik, Mahsa Ansari
BACKGROUND: There are limited data on the validity of dermatoscopy in primary cicatricial alopecias (PCAs) and its subtypes, including lichen planopilaris and discoid lupus erythematosus. Trichoscopic features of PCAs, their prevalence, and validity were evaluated in this study. METHODS: One hundred patients with PCA underwent dermatoscopy. Biopsy specimens were obtained after the site was marked with a dermatoscope. The control group comprised 100 patients with non-cicatricial alopecia and 100 normal individuals...
October 2016: International Journal of Dermatology
Emi Dika, Annalisa Patrizi, Simone Ribero, Pier Alessandro Fanti, Michela Starace, Barbara Melotti, Francesca Sperandi, Bianca Maria Piraccini
Targeted therapies for melanoma have shown clinical benefit in increasing the survival of metastatic patients. Cutaneous adverse events have been reported, but hair and nail data have been rarely detailed. Patients treated with BRAF and MEK inhibitors for metastatic melanoma underwent dermatological evaluation before the start of each treatment and after every four weeks. Pull test, global photography, dermoscopy/trichoscopy and scalp biopsy were performed. Appendages adverse events were graded using the National Cancer Institute's Common Terminology Criteria...
June 1, 2016: European Journal of Dermatology: EJD
Meda Sandra Orasan, Pompei Bolfa, Andrei Coneac, Adriana Muresan, Carmen Mihu
BACKGROUND: Hair loss and hair growth is the subject of tremendous amount of research. OBJECTIVE: This study investigated the efficacy of three chemical treatments used in humans for hair loss, using a rat model of hair regrowth. The products tested were 2% minoxidil, Hairgrow (Dar-Al-Dawa Pharma), Aminexil, Dercos (Vichy Laboratoires), and Kerium, Anti-chute (La Roche-Posay). METHODS: Thirty-two adult female Wistar-Bratislava rats were assigned to 4 groups...
February 2016: Annals of Dermatology
M Harries, A Tosti, W Bergfeld, U Blume-Peytavi, J Shapiro, G Lutz, A Messenger, R Sinclair, R Paus
BACKGROUND: Female pattern hair loss (FPHL) is a common non-scarring alopecia characterized by widening of the midline hair part at the crown (vertex). In 1977, Ludwig developed a scale that graded the degree of visible vertex hair thinning from I (least severe) to III (most severe). However, by the time patients exhibit the full manifestations of 'Ludwig I', they have already lost a significant volume of hair. Although current therapies may realistically halt progression of hair loss, improvements in hair density is often more limited...
April 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Binod Kumar Thakur, Shikha Verma, Vandana Raphael
BACKGROUND: The primary cicatricial alopecias (PCAs) are a rare group of diseases where hair follicle is the primary target of destruction. There are a few studies on histopathological and trichoscopic features of PCA. AIMS: To study the clinical, trichoscopic, and histopathological characteristics of PCAs of the scalp and to find out the concordance between trichoscopic and histopathological diagnosis. MATERIALS AND METHODS: We retrospectively analyzed the clinical, trichoscopic, and histopathological features of 24 PCA patients...
July 2015: International Journal of Trichology
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