Clinico-dermoscopic features and treatment responsiveness in
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There is relatively little data on the clinical and epidemiological profile of paediatric alopecia. The researchers wanted to study the clinical, epidemiological and dermoscopic profile of children with alopecia and to evaluate the response in real life to the various treatment modalities.

This cohort study involved analyzing children presenting with hair loss during the study period. After a detailed history, clinical, and trichoscopic examination, treatment offered to patients and follow-up response to treatment along with relapse of symptoms were noted.

-Around 119 children were included. Nearly 90% were of acquired etiology. The most common cause of alopecia was: alopecia areata (AA) in 85 patients followed by tinea capitis 9, lichen planopilaris 4, and other less common causes.
-In patients of AA, dermoscopy showed the presence of black dots in 68% cases, exclamation mark hair in 54% of patients followed by off-white dots, yellow dots, and vellus hair.
-Patients with an acute course and black dots on dermoscopy responded better to treatment. Relapse was common in patients with early age of onset and longer disease duration.

It was concluded that hair loss is frequently seen in pediatric dermatology clinics. Dermoscopy of pediatric AA shows scarce yellow dots while off-white dots are more frequent; the presence of black dots is a good prognostic indicator.

Source: https://www.e-ijd.org/article.asp?issn=0019-5154;year=2020;volume=65;issue=6;spage=483;epage=488;aulast=Mahajan;type=0
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