Trichoscopic Patterns of Scarring Alopecia

March 2021 in “ Revista Medicina Cutánea Ibero-Latino-Americana ”

Laura I. Mora-Montero, Mar�a A. Mart�nez-Velasco, Paula Torres-Camacho

trichoscopy scarring alopecia follicular openings white areas histological features

TLDR Trichoscopy helps diagnose scarring alopecia early and non-invasively.

The document reviewed trichoscopic patterns of scarring alopecia, emphasizing early identification to prevent disease progression. Trichoscopy was highlighted as a cost-effective, non-invasive diagnostic tool for specific diagnoses and timely treatments. It discussed various types of scarring alopecia, detailing trichoscopic and histological features, such as absence of follicular openings and white areas indicating scarring. Recognizing these patterns was crucial for accurate diagnosis without invasive methods. The document concluded that further studies were needed to establish the frequency of these findings for each type of scarring alopecia.

View this study on medicinacutaneaila.com →

Discuss this study in the Community →

Research cited in this study

19 / 19 results

research Diffuse Variants of Scalp Lichen Planopilaris: Clinical, Trichoscopic, and Histopathologic Features of 40 Patients

35 citations , November 2019 in “Journal of the American Academy of Dermatology”

A new variant of lichen planopilaris causing diffuse hair thinning was identified.

research Lichen Planopilaris: Retrospective Study on the Characteristics and Treatment of 291 Patients

48 citations , November 2018 in “Journal of dermatological treatment”

Women are more likely to have Lichen planopilaris, and treatments with cyclosporine and methotrexate are most effective but less safe than mycophenolate mofetil.

research The Value of Dermoscopy in Diagnosing Eyebrow Loss in Patients with Alopecia Areata and Frontal Fibrosing Alopecia

31 citations , October 2018 in “Journal of the European Academy of Dermatology and Venereology”

Trichoscopy effectively diagnoses eyebrow loss, distinguishing between alopecia areata and frontal fibrosing alopecia.

research Trichoscopy of Dark Scalp: A Review of Trichoscopic Features in Hair and Scalp Disorders in Dark-Skinned Individuals

18 citations , July 2018 in “Skin appendage disorders”

Trichoscopy helps diagnose hair and scalp disorders in dark-skinned people by identifying unique patterns.

research Scalp Itch: A Systematic Review

28 citations , November 2017 in “Skin appendage disorders”

The document concludes that accurate diagnosis and treatment of scalp itch require differentiating between various conditions using a proposed five-step evaluation process.

research Diffuse Scarring Alopecia in a Female Pattern Hair Loss Distribution

5 citations , February 2017 in “Australasian Journal of Dermatology”

Scarring hair loss found in female pattern; biopsy needed for diagnosis.

research Clinical and Dermoscopic Features of Lichen Planus Pigmentosus in 37 Patients with Frontal Fibrosing Alopecia

62 citations , May 2016 in “British journal of dermatology/British journal of dermatology, Supplement”

research Isolated Eyebrow Loss in Frontal Fibrosing Alopecia: Relevance of Early Diagnosis and Treatment

27 citations , May 2016 in “British journal of dermatology/British journal of dermatology, Supplement”

research Relevance of Trichoscopy in the Differential Diagnosis of Alopecia: A Cross-Sectional Study from North India

38 citations , January 2016 in “Indian Journal of Dermatology, Venereology and Leprology”

Trichoscopy is useful for diagnosing different types of hair loss.

research Trichoscopic Findings of Hair Loss in Koreans

16 citations , January 2015 in “Annals of Dermatology”

The study found specific hair and scalp patterns for different types of hair loss in Koreans, noting racial differences affect diagnosis.

research Primary Scarring Alopecias

27 citations , January 2015 in “Current problems in dermatology”

The document concludes that primary scarring alopecias cause permanent hair loss, have unpredictable outcomes, and lack definitive treatments, requiring personalized care.

research Scalp Dermoscopy or Trichoscopy

69 citations , January 2015 in “Current problems in dermatology”

Trichoscopy is a quick, noninvasive method to diagnose hair and scalp disorders, often reducing the need for biopsies.

research Dermatoscopic Features of Central Centrifugal Cicatricial Alopecia

64 citations , June 2014 in “Journal of The American Academy of Dermatology”

Researchers found a white halo around hair in most patients with a specific type of hair loss, which helps in early diagnosis and treatment.

research Dermoscopic Approach to a Small Round to Oval Hairless Patch on the Scalp

41 citations , January 2014 in “Annals of Dermatology”

Dermoscopic examination helps diagnose different types of hair loss conditions by showing specific patterns.

research Treatment of Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

117 citations , March 2013 in “Journal of the European Academy of Dermatology and Venereology”

No effective treatment for frontal fibrosing alopecia was found, but oral 5-alpha-reductase inhibitors had the best response; for lichen planopilaris, topical corticosteroids were commonly used but had a high relapse rate.

research Treatment Options for Alopecia: An Update, Looking to the Future

35 citations , May 2012 in “Expert Opinion on Pharmacotherapy”

The document concludes that there are various treatments for different types of alopecia, but more research is needed for evidence-based treatments.

research Dermoscopy-Guided Scalp Biopsy in Cicatricial Alopecia

62 citations , March 2012 in “Journal of the European Academy of Dermatology and Venereology”

Using dermoscopy to guide scalp biopsies is an effective way to diagnose cicatricial alopecia.

research Primary Cicatricial Alopecia: Recent Advances in Understanding and Management

44 citations , November 2011 in “The Journal of Dermatology”

New understanding of the causes of primary cicatricial alopecia has led to better diagnosis and potential new treatments.

research Videodermoscopy in the Evaluation of Hair and Scalp Disorders

304 citations , July 2006 in “Journal of The American Academy of Dermatology”

Videodermoscopy improves diagnosis of hair and scalp disorders and may reduce scalp biopsies.

Related Community Posts Join

6 / 72 results

community DHT Harms Scalp Microbiome: DHT Itch is REAL

in Research/Science 417 upvotes 7 months ago

Increased Malassezia and Cutibacterium in the scalp microbiome are linked to higher sebum production and inflammation in androgenetic alopecia (AGA). Treatments include ciclopirox shampoo, benzoyl peroxide shampoo, clobetasol propionate, calcipotriol, minoxidil, finasteride, and dutasteride.

community Dutasteride 4 times a week not good as propecia every day with dutasteride every 5 days for me

in Finasteride/Dutasteride 12 upvotes 2 months ago

Taking dutasteride daily with finasteride is more effective in reducing hair loss and itching than taking dutasteride four times a week. The combination reduces shedding and anxiety.

community Efficacy and Tolerability of N-Acetyl-Cysteine for Treatment of The Early-onset Androgenetic Alopecia in Men

in Research/Science 27 upvotes 3 years ago

N-Acetyl-Cysteine (NAC) was found to improve hair parameters in men with early-onset androgenetic alopecia, showing increased terminal hair count and decreased vellus hair count, with good tolerability. NAC, used alone or with minoxidil, may help due to its antioxidant properties, though its effectiveness can vary among individuals.

community Totally confused by doctors opinions, would appreciate some clarity

in Treatment 1 upvotes 11 months ago

The user is experiencing hair loss and confusion over conflicting medical advice, with treatments including minoxidil, finasteride, and topical corticosteroids. They are unsure about the necessity of a biopsy and the timing of using minoxidil, while also considering the impact of potential androgenetic alopecia and telogen effluvium.

community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

in Research 830 upvotes 1 year ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community I’m Feeling so discouraged and depressed - No one wants to prescribe finasteride to me.

in Finasteride/Dutasteride 68 upvotes 1 year ago

A user in France is frustrated because three dermatologists refused to prescribe finasteride for their hair loss, suggesting it's not androgenetic alopecia (AGA) and offering expensive vitamin treatments instead. Other users suggest buying hair loss treatments like minoxidil and finasteride from various online pharmacies and considering a gender-affirming care physician for more understanding treatment options.

Similar Research

5 / 1000+ results

research Autoimmune Cicatricial Alopecia and the Role of Trichoscopy in Its Diagnosis: A Literature Review

December 2024 in “Archiv Euromedica”

Trichoscopy is essential for diagnosing and treating autoimmune cicatricial alopecia early.

research Hair and Scalp Dermatoscopy

245 citations , March 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.

Trichoscopy and Trichogram: Diagnostic Methods for Hair and Scalp Disorders