Short Anagen Syndrome: A Case Series and Algorithm for Diagnosis

    August 2021 in “ Pediatric dermatology
    Michela Starace, Carlotta Gurioli, Miriam Anna Carpanese, Francesca Bruni, Bianca Maria Piraccini, Annalisa Patrizi, Aurora Alessandrini
    TLDR Biotin, alone or with minoxidil, effectively treats short anagen syndrome.
    The study on short anagen syndrome (SAS) involved a retrospective review of 25 pediatric patients at the University of Bologna's Dermatology Department. SAS is characterized by a short anagen phase, primarily affecting Caucasian children, and results in an inability to grow long hair. Key diagnostic findings included parental reports of no need for haircuts, conical-shaped hair tips, and a higher percentage of thin hair shafts. The mean anagen-to-telogen ratio was 66:34, compared to the normal 90:10. The study developed a diagnostic algorithm for SAS and found that treatments with biotin alone or combined with topical minoxidil were effective.
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