Hair Loss in Children: Diagnosis and Treatment

    January 2015 in “ Current problems in dermatology
    Rubina Alves, Ramón Grimalt
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    TLDR The document concludes that accurate diagnosis of hair loss in children is crucial due to limited treatment options and the condition's psychological impact.
    The document from 2015 discusses hair loss in children, covering the embryology of hair development, the hair cycle phases, and the importance of understanding normal hair variations in children for diagnosis. It outlines diagnostic methods such as patient history, clinical examination, the hair pull test, and trichoscopy. Alopecia areata (AA), a nonscarring autoimmune condition, is highlighted with a prevalence of 0.2% and a lifetime risk of 1.7%, with patchy AA being the most common form. Other conditions like tinea capitis, trichotillomania, and congenital triangular alopecia are also discussed. Treatment options for AA include corticosteroids and minoxidil, but their success rates vary and can have side effects. The document also reviews hair shaft abnormalities, congenital atrichia, and syndromic hair disorders, noting that accurate diagnosis is key due to the psychological impact of hair loss on children. However, many hair disorders lack effective treatments.
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