Hair Loss in Children

    May 1993 in “ Archives of Disease in Childhood ”
    Julian Verbov
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    TLDR Children's hair loss can be caused by many factors, including autoimmune diseases, emotional stress, genetics, and infections, with treatment and prognosis varying.
    The document from 1993 discusses various causes of hair loss in children, including alopecia areata, an autoimmune condition with varying prognosis, and trichotillomania, a hair-pulling disorder often linked to emotional distress. It highlights congenital conditions like aplasia cutis and sebaceous naevus, hereditary factors, stress-related telogen effluvium, chemical exposure, endocrine disorders, nutritional deficiencies, and infections like scalp ringworm as potential causes. Traumatic hair loss from physical hair styles and structural hair shaft defects are also mentioned. Two case studies are presented: a 9-year-old girl and a 5.5-year-old boy, both experiencing hair loss due to stress and emotional issues, with subsequent hair regrowth after the underlying problems were addressed. Behavioral management and psychotherapy are suggested treatments, with clomipramine as a drug option for severe cases. The prognosis is generally good for young children but more guarded for adolescent females with significant hair loss.
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      in Female  449 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

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      in Treatment  2 upvotes 3 years ago
      A user with alopecia totalis, borderline universalis, seeks advice on getting into a Xeljanz trial or appealing insurance for coverage. They experienced significant hair regrowth but are now seeing hair loss again and want to try Xeljanz.

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      A 19-year-old male has been using topical finasteride and minoxidil for 8 months with no progress and is considering seeking a second opinion due to potential misdiagnosis. The discussion revolves around whether the hair loss is due to male pattern baldness, alopecia areata, or a vitamin deficiency.

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      in Treatment  1 upvotes 1 year ago
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