Dermoscopic Features in Cicatricial and Non-Cicatricial Alopecia

March 2023 in “ PARIPEX INDIAN JOURNAL OF RESEARCH ”

Rashmi Pote, Virendra Vijay Saoji, Ashish Danane

cicatricial alopecia non-cicatricial alopecia alopecia areata androgenetic alopecia honeycomb pigmentation dermoscopy scarring alopecia non-scarring alopecia pattern baldness

TLDR Dermoscopy helps diagnose different types of hair loss and may reduce the need for biopsies.

This study aimed to examine the dermoscopic features of cicatricial (scarring) and non-cicatricial (non-scarring) alopecias to aid in diagnosis and treatment. A total of 63 patients with alopecia were studied at Dr. PDMMC college and hospital from January 2019 to January 2021. Of these, 14 (22.22%) had cicatricial alopecia and 49 (77.78%) had non-cicatricial alopecia. The most common age group affected was 21-30 years, and females represented 57.14% of the cases. The most frequent presentations were Alopecia areata (26.98%) and Androgenetic alopecia (25.40%). The most common dermoscopic finding across all types of alopecia was Honeycomb pigmentation (84.13%). The study concluded that dermoscopy is a valuable non-invasive diagnostic tool that can differentiate between types of alopecia, monitor treatment response, and potentially avoid the need for invasive procedures like biopsies. The study suggests that further research is needed to elaborate on the dermoscopic features of less common hair loss conditions.

View this study on worldwidejournals.com →

Discuss this study in the Community →

Related Community Posts Join

6 / 14 results

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 4 months ago

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.

community scarring alopecia awareness in this community

in Chat 33 upvotes 2 years ago

Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community I am a dermatologist with a clinical interest in alopecia. AMA

in Will treatment work for me? 2 years ago

In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

community lost my hair in a single year of treatment at 20 years old

in Finasteride/Dutasteride 89 upvotes 4 months ago

A 20-year-old lost significant hair after one year of treatment, using minoxidil, finasteride, and later dutasteride. They are considering adding RU58841 but are advised to return to finasteride and minoxidil for a year before deciding.

community My doctor prescribed me Finasteride 5mg Daily. Is the dosage too high?

in Finasteride/Dutasteride 99 upvotes 8 months ago

A user was prescribed 5mg of Finasteride daily for hair loss, which is a higher dose typically used for prostate issues. Many suggest using a pill cutter to reduce the dose to 1mg or less per day, as it is more cost-effective and equally effective for hair loss.

community Why is nobody studying the difference between donor and balding hair?

in Chat 89 upvotes 6 months ago

The conversation discusses why the difference between donor and balding hair isn't studied more to find a cure for hair loss. Treatments mentioned include Minoxidil, finasteride, and RU58841.

Related Research

5 / 5 results

research Trichoscopy as an Essential Diagnostic Technique for Hair and Scalp Disorders in Skin of Color: A Case-Control Study

July 2021 in “Indian journal of dermatopathology and diagnostic dermatology”

Trichoscopy is a reliable method for diagnosing hair and scalp disorders quickly and non-invasively.

research Hair Loss in Adult Females: A Clinical and Trichoscopic Study

January 2021 in “International journal of dermatology, venereology and leprosy sciences”

Most adult women experiencing hair loss are aged 21-40, with the most common type being female pattern hair loss. Trichoscopy is a useful tool for diagnosing different types of hair loss.

Clinical and Histological Challenge in the Differential Diagnosis of Diffuse Alopecia: Female Androgenetic Alopecia, Telogen Effluvium and Alopecia Areata – Part I

research Clinical and Histological Challenge in the Differential Diagnosis of Diffuse Alopecia: Female Androgenetic Alopecia, Telogen Effluvium and Alopecia Areata – Part I

29 citations, October 2012 in “Anais Brasileiros De Dermatologia”

Diagnosing hair loss disorders needs clinical, dermoscopic, and histological differences, and checking menstrual cycle, weight changes, drug therapy, and nail changes.

research Hair and Scalp Dermatoscopy

245 citations, March 2012 in “Journal of The American Academy of Dermatology”

Dermatoscopy is useful for identifying different hair and scalp conditions and can reduce the need for biopsies.

research Scalp Dermoscopy of Androgenetic Alopecia in Asian People

67 citations, February 2009 in “Journal of Dermatology”