Dynamic Trichoscopy: Advancements in Hair and Scalp Examination

    June 2018 in “ JAMA Dermatology ”
    Ralph M. Trüeb, Hudson Dutra Rezende, Maria Fernanda Reis Gavazzoni Diaz
    Image of study
    TLDR Trichoscopy is useful for diagnosing and monitoring hair and scalp conditions over time.
    The document discusses the use of trichoscopy, a method involving dermoscopy for the examination of hair and scalp conditions. It highlights the value of trichoscopy in dermatological practice, particularly for diagnosing hair and scalp disorders, reassuring patients, and evaluating treatment response. The authors introduce the concept of dynamic trichoscopy, which involves the use of dermoscopy over time to monitor the evolution of hair and scalp diseases, guide biopsies and treatments, and appreciate disease-specific progression. They argue that while static algorithms can be helpful for beginners and routine diagnoses, they may fall short when faced with complex or atypical cases, emphasizing the need for creativity and imagination in medical practice. The document also acknowledges the limitations of dermoscopy, such as its sensitivity to various factors like grooming habits and skin types, but suggests that these can be overcome with experience and regular use.
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