Hair Disorders

    Elise A. Olsen, Matilde Iorizzo
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    TLDR Understanding normal hair growth and loss in children is key to diagnosing and treating hair disorders.
    The document is a comprehensive review of hair disorders in the pediatric population, detailing the causes, diagnosis, and treatment of alopecia and hypertrichosis. It highlights the importance of thorough clinical diagnosis, including physical and dermatoscopic examination, microscopic analysis of hairs, and scalp biopsy. The review discusses various types of hair loss, genetic associations, and the significance of hair loss as an indicator of systemic illnesses. It also covers hair shaft abnormalities, such as trichorrhexis nodosa, and genetic conditions like Menkes syndrome and Netherton syndrome. The document emphasizes the need for proper diagnosis and management of hair disorders, including avoiding hair trauma and using treatments like minoxidil for conditions like monilethrix. It also discusses alopecia areata, toxic alopecia, loose anagen syndrome, and telogen effluvium, as well as nutritional deficiencies leading to hair loss. Additionally, it covers Aplasia Cutis Congenita, Keratosis Follicularis Spinulosa Decalvans, and other forms of hair loss, along with hypertrichosis and its genetic and acquired causes. Becker's naevus and treatment options for hypertrichosis, including laser hair removal, are also discussed. The document concludes that understanding normal hair growth and loss in childhood is crucial for diagnosing and managing hair disorders.
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