TLDR A 19-month-old boy with a rare hair disorder showed mild improvement with treatment, but his family chose gentle hair care due to limited success.
A 19-month-old boy presented with erythematous papules and significant hair loss over the scalp, diagnosed as monilethrix, a rare hair disorder characterized by beaded hair and brittle hair shafts. Light microscopy revealed nodal swellings and internodal constrictions. Treatments with 2% salicylic acid, 1% pyrithione shampoo, and tretinoin cream showed mild and transient improvement. Monilethrix is typically inherited in an autosomal dominant pattern with variable expressivity and can affect various body hairs. The prognosis varies, often worsening in childhood but potentially improving in adulthood. The patient's family opted for gentle hair care due to limited treatment success.
24 citations,
July 1983 in “Clinical and Experimental Dermatology” Tigason improved hair growth in a boy with monilethrix without side effects.
1 citations,
January 2013 in “Elsevier eBooks” The document reviews various hair and nail disorders, their causes, and treatments, emphasizing the need for proper diagnosis and the link between nail changes and systemic diseases.
2 citations,
January 2013 in “Elsevier eBooks” The document explains the genetic causes and characteristics of inherited hair disorders.
86 citations,
August 2014 in “Journal of The American Academy of Dermatology” To diagnose hair loss, use a systematic approach including history, exams, and tests.
January 2017 in “Springer eBooks” The document explains various skin conditions and their treatments.
30 citations,
May 2004 in “Journal der Deutschen Dermatologischen Gesellschaft” The document concludes that early diagnosis and treatment are crucial for children with hair loss to prevent permanent damage, although not all conditions can be effectively treated.
