دورية أكاديمية
Trichoscopic findings in children and adults with alopecia areata: A comparative study.
| العنوان: | Trichoscopic findings in children and adults with alopecia areata: A comparative study. |
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| المؤلفون: | Aryanian Z; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran.; Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.; Department of Dermatology, Babol University of Medical Sciences, Babol, Iran., Najafi M; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran., Ansari M; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran.; Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran., Nassimi M; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran.; Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran., Etesami I; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran.; Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran., Heidari S; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran., Khayyat A; PGY2 resident physician, Pathology Department of Medical College of Wisconsin, Milwaukee, Wisconsin, USA., Hatami P; Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran, Tehran, Iran. |
| المصدر: | Journal of cosmetic dermatology [J Cosmet Dermatol] 2024 Aug; Vol. 23 (8), pp. 2736-2742. Date of Electronic Publication: 2024 Apr 13. |
| نوع المنشور: | Journal Article; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Science Country of Publication: England NLM ID: 101130964 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-2165 (Electronic) Linking ISSN: 14732130 NLM ISO Abbreviation: J Cosmet Dermatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford, UK : Blackwell Science, c2002- |
| مواضيع طبية MeSH: | Alopecia Areata*/diagnostic imaging , Alopecia Areata*/diagnosis , Alopecia Areata*/pathology , Dermoscopy*, Humans ; Female ; Male ; Child ; Cross-Sectional Studies ; Retrospective Studies ; Adult ; Young Adult ; Adolescent ; Age Factors ; Child, Preschool ; Iran/epidemiology ; Hair/diagnostic imaging ; Hair/pathology ; Middle Aged ; Sex Factors |
| مستخلص: | Background: Alopecia areata is a chronic and relapsing condition that affects individuals of all age groups. Dermoscopy is a popular and non-invasive method for diagnosing alopecia areata. This study aimed to analyze dermoscopic findings and their relationship with age, gender, appearance, and clinical signs in children and adults. Methods: This retrospective cross-sectional study was conducted on 124 children and adults diagnosed with alopecia areata who were referred to a Hospital in Iran between 2021 and 2022. After reaching the calculated sample size, trichoscopic findings were examined and the results were recorded. Data analysis was performed by a statistician and presented in relevant tables. Results: The participants in the study comprised 53.2% female children, 46.8% male children, 27.42% adult males, and 72.58% adult females. The median age in the pediatric group was 10 years, while it was 27 years in the adult group. Yellow dots were significantly less observed in children than in adults (29% vs. 48.4%), while exclamation mark hairs were significantly more common in children than adults (38.7% vs. 21%). No significant differences were found in the frequency of other trichoscopic features between children and adults. Specifically, black dots, broken hairs, short vellus hairs, pigtail hairs, and empty follicular openings were observed in 38.7%, 40.3%, 32.3%, 11.3%, and 75.8% of children, respectively, and in 35.5%, 32.3%, 21%, 46.8%, and 12.9% of adults, respectively. Conclusion: The most common trichoscopic findings in alopecia areata in children are empty follicular openings and broken hairs, while exclamation mark hairs are more common in children than adults. In contrast, yellow dots are less frequently observed in children compared to adults. This distinct difference between children's and adults' dermoscopic findings highlights the critical need for age-specific considerations in AA evaluations. (© 2024 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.) |
| References: | Al Bazzal A, Hatami P, Abedini R, Etesami I, Ayanian Z, Ghandi N. A prospective comparative study of two regimens of diphenylcyclopropenone (DPCP) in the treatment of alopecia areata. Int Immunopharmacol. 2021;101(Pt B):108186. doi:10.1016/j.intimp.2021.108186. Ghandi N, Daneshmand R, Hatami P, et al. A randomized trial of diphenylcyclopropenone (DPCP) combined with anthralin versus DPCP alone for treating moderate to severe alopecia areata. Int Immunopharmacol. 2021;99:107971. doi:10.1016/j.intimp.2021.107971. Miteva M, Tosti A. Dermoscopy in the evaluation of hair and scalp disorders. J Am Acad Dermatol. 2019;80(5):1265‐1275. Özçelik K. Pediatric Trichoscopy. Dermatol Clin. 2021;39(3):397‐408. Rakowska A. Trichoscopy (hair and scalp videodermoscopy) in the healthy female. Method standardization and norms for measurable parameters. J Dermatol Case Rep. 2009;3(1):14‐19. Holman AP, Kurouski D. Role of Race/Ethnicity, Sex, and Age in Surface‐Enhanced Raman Spectroscopy‐ and Infrared Spectroscopy‐Based Analysis of Artificial Colorants on Hair. ACS Omega. 2023;8(23):20675‐20683. Mani S, Raut A, Neema S, et al. Trichoscopy in alopecia areata and trichotillomania in skin of colour: a comparative study. Indian J Dermatol. 2023;68(1):78‐84. doi:10.4103/ijd.ijd_587_22. Waśkiel‐Burnat A, Rakowska A, Sikora M, Olszewska M, Rudnicka L. Trichoscopy of alopecia areata in children. A retrospective comparative analysis of 50 children and 50 adults. Pediatr Dermatol. 2019;36(5):640‐645. doi:10.1111/pde.13912. Inui S, Nakajima T, Nakagawa K, Itami S. Clinical significance of dermoscopy in alopecia areata: analysis of 300 cases. Int J Dermatol. 2008;47(7):688‐693. doi:10.1111/j.1365-4632.2008.03692.x. Lacarrubba F, Micali G, Tosti A. Scalp dermoscopy or trichoscopy. Curr Probl Dermatol. 2015;47:21‐32. doi:10.1159/000369402. Bapu NG, Chandrashekar L, Munisamy M, Thappa DM, Mohanan S. Dermoscopic findings of alopecia areata in dark‐skinned individuals: an analysis of 116 cases. Int J Trichology. 2014;6(4):156‐159. doi:10.4103/0974-7753.142853. Jha AK, Sonthalia S, Lallas A. Trichoscopy in alopecia areata: an update. Int J Trichology. 2020;12(3):101‐110. Sharma VK, Dawn G. Non‐invasive evaluation of alopecia: a review of Dermatoscopy, Trichoscopy, and other novel imaging techniques. Dermatol Pract Concept. 2022;12(2):e2022019. |
| فهرسة مساهمة: | Keywords: Trichoscopy; alopecia areata; empty follicular openings; exclamation mark hairs; pigtail hairs |
| تواريخ الأحداث: | Date Created: 20240413 Date Completed: 20240725 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| DOI: | 10.1111/jocd.16319 |
| PMID: | 38613406 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-2165 |
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| DOI: | 10.1111/jocd.16319 |