Selected Topics in Pediatric Hair Loss

    December 2007 in “ Expert Review of Dermatology ”
    Sejal Shah, Álvarez Mora, Faris Hawit, Andrew F. Alexis, Nanette B. Silverberg
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    TLDR The document concludes that early diagnosis and treatment are key for pediatric hair loss disorders, and addressing the emotional effects on children is important.
    The document from 2007 reviews three common pediatric hair loss disorders: traction alopecia (TA), tinea capitis (TC), and alopecia areata (AA). TA, often caused by hairstyles that pull on the hair, had a 17.1% prevalence among 1042 South African schoolgirls and is more common in females, especially African-American and Hispanic. Early diagnosis and cessation of hair-pulling hairstyles are crucial, with treatments including antibiotics, steroids, and minoxidil. TC, a fungal infection, is the most common cause of hair loss in children aged 3-7 and is treated with antifungals like griseofulvin, with other antifungals being considered. AA, an autoimmune disease with an incidence of 20.2 per 100,000 person-years in the USA, often occurs before age 40, with a peak in children aged 2-6 years. Diagnosis relies on physical examination, and treatment options include topical corticosteroids, minoxidil, and immune-modulating therapies, though few have been tested in randomized trials. Up to 80% of patients with limited AA may experience spontaneous regrowth within a year. The document highlights the importance of early diagnosis, appropriate treatment, and addressing the psychosocial impact of hair loss in children.
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