A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents

    July 2017 in “ Frontiers in Medicine
    Liwen Xu, Kevin X. Liu, Maryanne M. Senna
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    TLDR Early and personalized treatment for hair loss in young people is crucial to prevent permanent damage and should include psychological support.
    The 2017 document reviews the diagnosis and management of hair loss in children and adolescents, highlighting the psychological impact of alopecia and the need for prompt and holistic management. It covers common causes such as alopecia areata, tinea capitis, androgenetic alopecia, traction alopecia, trichotillomania, hair cycle disturbances, and congenital conditions. Diagnostic methods include history, physical exams, and various tests like fungal screens and trichoscopy. Treatments vary in effectiveness, with some conditions responding to therapies like phototherapy, topical minoxidil, and oral tofacitinib, which showed significant regrowth in 9 out of 13 patients aged 12-17 years after about 6 months. The document stresses the importance of early recognition and personalized treatment to prevent permanent hair loss, the potential for spontaneous resolution in some cases, and the necessity of psychosocial support and referrals to specialists when needed.
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