Dermoscopic Features in Cicatricial and Non-Cicatricial Alopecia

    Rashmi Pote, Virendra Vijay Saoji, Ashish Danane
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    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.
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      in Research  692 upvotes 3 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.

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      in Chat  33 upvotes 2 years ago
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