TLDR Dermatoscopy helps diagnose hair and scalp disorders in people with Afro-textured hair, but more research is needed for better understanding and treatment.
The document reviews the application of dermatoscopy for diagnosing hair and scalp disorders in individuals with Afro-textured hair, noting the lack of research compared to white populations. It details dermatoscopic findings for various conditions such as CCCA, alopecia areata, androgenetic alopecia, traction alopecia, DLE, LPP, FFA, DCS, and PA, and discusses the challenges in diagnosing scarring alopecia due to unique features like pinpoint white dots in African ancestry individuals. The document emphasizes that while trichoscopy has reduced the need for biopsies in nonscarring alopecias and aids in differential diagnosis, biopsies are still essential for confirming scarring alopecias. Dermatoscopy is highlighted as a tool for selecting biopsy sites and improving pathologic diagnosis rates, with a call for more research to enhance understanding of scalp diseases in patients with Afro-textured hair. The document appears to be a general review without a specific study population.
Cited in this study
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245 citations
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November 2012 in “Journal of The American Academy of Dermatology” Dermatoscopy is useful for identifying different hair and scalp conditions and can reduce the need for biopsies.
20 citations
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April 2011 in “British Journal of Dermatology” Reflectance confocal microscopy can tell apart white dots on the scalp as either sweat gland ducts or hair follicle openings.
108 citations
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March 2011 in “Archives of Dermatology” Corkscrew hair may be a new sign for quickly diagnosing scalp fungus in black children.
60 citations
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October 2010 in “Journal of the American Academy of Dermatology” Small white dots on the scalp seen with a dermoscope correspond to sweat ducts and vary with different hair disorders.
143 citations
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November 2008 in “Journal of The American Academy of Dermatology” Comma hairs are a specific sign of tinea capitis when viewed with videodermatoscopy.
94 citations
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September 2008 in “Journal of the American Academy of Dermatology” Traction alopecia is more common in African women than girls, especially when traction is applied to chemically relaxed hair; avoiding such hairstyles may reduce the risk.
304 citations
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November 2006 in “Journal of The American Academy of Dermatology” Videodermoscopy improves diagnosis of hair and scalp disorders and may reduce scalp biopsies.
129 citations
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June 1999 in “Archives of Dermatology” African Americans have less hair density than whites.
April 2019 in “International journal of research in dermatology” A child with rough nails also had hair loss and allergies.