Hair Loss in Children: A Detailed Overview of Pediatric Alopecia

    July 2018 in “ Elsevier eBooks ”
    Kate E. Oberlin, Lawrence A. Schachner
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    TLDR The most common cause of hair loss in children is tinea capitis, followed by alopecia areata and telogen effluvium.
    The 2019 document provides a detailed overview of pediatric alopecia, categorizing it based on the pattern of hair loss and whether the hair shaft is fragile. It highlights the importance of trichoscopy and punch biopsies for diagnosis. Tinea capitis is identified as the most common cause of hair loss in children, with a 40% prevalence in a study of 2,800 children in Jordan, followed by alopecia areata (26.2%) and telogen effluvium (17.6%). Alopecia areata is an autoimmune condition that can be associated with other autoimmune diseases and is characterized by nonscarring patches of hair loss. Trichotillomania is addressed with behavioral therapy as the primary treatment. The document also discusses other specific conditions like temporal triangular alopecia and aplasia cutis congenita, as well as management strategies for various types of alopecia, including antifungal therapy for tinea capitis and changing hair care practices for traction alopecia. Additionally, it covers hair shaft disorders such as loose anagen syndrome, monilethrix, and trichorrhexis invaginata, noting that some conditions improve with age or puberty and emphasizing the role of trichoscopy in diagnosis.
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      community Dermatologist wants me to stop topical min+fin as a teen

      in Minoxidil  6 upvotes 2 years ago
      A 17-year-old has been using topical minoxidil and finasteride for hair loss but is advised by a dermatologist to taper off due to age concerns. Other users suggest continuing minoxidil but stopping finasteride until at least 18, and consulting a specialized pediatric dermatologist.

      community [25, F] [RANT] Shedding since March 2020. This just isn’t fair.

      in Female  42 upvotes 4 years ago
      User "missbloombastic" has been experiencing hair loss since 2016 and tried min, fin, multivitamins, and spiro with mixed results. Another user shares their struggle with hair loss and its impact on self-esteem, while a third user suggests checking blood tests and confirming the cause of hair loss.

      community Topical finasteride now the safest possible path?

      in Finasteride/Dutasteride  84 upvotes 1 year ago
      Topical finasteride is considered a safer option for hair regrowth with fewer systemic side effects compared to oral finasteride. Some users report similar efficacy and side effects between topical and oral treatments, while others prefer topical due to reduced systemic exposure.

      community Being Safe on Oral Minoxidil: tl;dr on the literature.

      in Research/Science  52 upvotes 1 year ago
      Oral minoxidil is effective for hair loss but can cause cardiovascular side effects, such as pericardial effusion, especially in those with genetic predispositions. Starting with low doses and monitoring cardiovascular health are advised to reduce risks.
      Can I still save my hairline at age of 15?

      community Can I still save my hairline at age of 15?

      by Kuba in General  532 upvotes 4 months ago
      A 15-year-old is concerned about hair loss, possibly at Norwood 2 or 3, and is using shampoos and conditioners recommended by a trichologist. Suggestions include considering topical minoxidil and consulting a doctor about topical anti-DHT treatments like finasteride or RU58841, but avoiding 5-alpha-reductase inhibitors at this age.

      community The MPB itch aka DHT itch is very real.

      in Chat  9 upvotes 3 years ago
      Hair loss itch is caused by DHT attacking follicles and stimulating nerves. Finasteride users who respond well don't experience this itch.

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