Treatment of Alopecia in Children

    January 2022 in “ PubMed ”
    P. K. Mishra, Anant Patil, Rodney Sinclair, Michael R. Gold, Lidia Rudnicka, Stephan Grabbe, Mohamad Goldust
    TLDR Early diagnosis and treatment of alopecia in children are crucial for their well-being.
    The review discussed the challenges and importance of diagnosing and treating alopecia in children, emphasizing the significant physical and psychological impacts of hair loss on their development. It highlighted that most alopecia cases in children are non-scarring, though cicatricial alopecia can occur. Diagnosis typically involved direct scalp examination, with additional tools like potassium hydroxide examination, woods lamp examination, and trichoscopy. In cases of suspected cicatricial alopecia, a scalp biopsy was recommended. The review focused on various treatment options, their safety, and efficacy, stressing the importance of early disease-specific treatment and adequate counseling for patients and their parents.
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      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

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      in Chat  33 upvotes 3 years ago
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