Trichoscopy Tips

    August 2018 in “ Dermatologic Clinics ”
    Rodrigo Pirmez, Antonella Tosti
    Image of study
    TLDR Trichoscopy is a useful tool for diagnosing hair and scalp issues, but doctors must be careful to avoid mistakes.
    The document from 2018 discusses trichoscopy as a noninvasive diagnostic tool for hair and scalp disorders, useful for identifying early scarring alopecias and selecting biopsy sites. It points out the necessity of examining different scalp areas and using various magnifications, while also considering unique features in pigmented scalps. The article advises clinicians to be cautious of pitfalls like scalp staining and environmental deposits that can lead to misdiagnosis. It categorizes trichoscopic features and emphasizes the importance of correlating these with the patient's history and clinical picture. The document also notes that trichoscopy is especially beneficial for children, but warns of misinterpretation due to artifacts. It underscores the need for dermatologists to keep abreast of advancements in trichoscopy to avoid diagnostic errors.
    Discuss this study in the Community →

    Research cited in this study

    20 / 20 results

    Related Community Posts Join

    6 / 69 results

      community I think I’ve finally found the reason for my hair loss

      in Chat  98 upvotes 10 months ago
      The user experienced hair loss since 2019 and tried finasteride, dutasteride, RU58841, and ketoconazole shampoo without success. A scalp biopsy showed scarring and inflammation from folliculitis, indicating chronic inflammation was affecting treatment effectiveness.

      community 9 months on Fin - no progress , should I get on Dutasteride?

      in Chat  10 upvotes 11 months ago
      The user has been using finasteride, minoxidil, and nizoral for hair loss but hasn't seen regrowth, only maintenance. They are considering switching to dutasteride, which is believed to be more effective, but are concerned about potential side effects.

      community How essential is scalp biopsy when dealing with hair loss?

      in Treatment  6 upvotes 1 year ago
      The user experienced hair loss despite using Fin and Min for 12 years and switched to Dutasteride, RU58841, and Keto scalp serum, but shedding and itch persist. They are considering increasing Dutasteride to 2.5mg and questioning the necessity of a scalp biopsy, with mixed opinions on its usefulness.

      community Totally confused by doctors opinions, would appreciate some clarity

      in Treatment  1 upvotes 10 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.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      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.

    Related Research

    3 / 3 results