Trichoscopic Hallmarks in Non-Scarring and Scarring Alopecia in Indian Population: A Narrative Review

December 2024 in “ Journal of Skin and Stem Cell ”

Nitika Wagh, Pradyumna Vaidya, Vijay Deepak Joshi

trichoscopy alopecia non-cicatricial alopecia cicatricial alopecia androgenetic alopecia alopecia areata chronic telogen effluvium female pattern hair loss hair diameter variability exclamation mark hair hair loss scarring alopecia non-scarring alopecia pattern baldness

TLDR Trichoscopy helps diagnose and manage different types of hair loss in the Indian population.

This narrative review emphasizes the significance of trichoscopy in diagnosing and managing alopecia in the Indian population. Trichoscopy aids in distinguishing between non-scarring and scarring alopecia by identifying specific hair and scalp features, such as hair diameter variability in androgenetic alopecia and exclamation mark hair in alopecia areata. It is particularly useful in differentiating conditions like chronic telogen effluvium and female pattern hair loss, guiding treatment decisions, and reducing the need for invasive biopsies. The review also notes the limitations of trichoscopy, such as a steep learning curve, and advocates for increased training among Indian dermatologists to enhance diagnostic and treatment outcomes.

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