Actualización en tricoscopia

Fernández-Domper, Leopoldo; Ballesteros-Redondo, M; Vañó‐Galván, Sergio

doi:10.1016/j.ad.2022.12.003

Cited by 9 publications

(5 citation statements)

References 34 publications

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“…We recorded a broad use of trichoscopy in clinical practice in both Greece and Italy [ 3 , 14 , 15 ]. Despite the high level of evidence supporting trichoscopy as an effective, easy-to-apply, and cheap diagnostic tool for the evaluation of AA, the method has been incorporated only into the Italian guidelines.…”

Section: Discussionmentioning

confidence: 99%

Current Diagnostic and Therapeutic Practices in Alopecia Areata in Two Mediterranean Countries: A Survey-Based Study

Starace,

Pampaloni,

Lazaridou

et al. 2024

Dermatol Ther (Heidelb)

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Introduction Alopecia areata (AA) affects approximately 2% of the general population and is associated with significant psychosocial morbidity and poor health-related quality of life. Despite the high incidence of the disease the available clinical practice guidelines to help clinicians and improve patients’ care are very poor and of a low methodological quality, as compared to other high-burden dermatoses. The aim of this survey is to capture the current clinical practice in AA management, as performed by dermatologists, in two Mediterranean countries to identify potential disparities and gaps in diagnosis and treatment. Methods A 50-item questionnaire was created in the English language and then translated into Greek and Italian language and sent to the Greek and Italian dermatologists via email. Results A total of 490 dermatologists from Italy and 234 from Greece participated in the survey. The diagnosis of AA is usually based on history and clinical examination, supported by trichoscopy. The rate of use of severity scores and scales to evaluate impact on quality of life by dermatologists was low. Treatment of patchy AA, in both adult and pediatric populations, is based on use of topical steroids as first-line treatment. Results on special site involvement (eyebrows, beard, and ophiasis), chronic cases, and the pediatric population highlight extreme heterogeneity in treatment approach. Conclusions Our results highlight that management of AA, in terms of diagnosis and treatment, is still challenging. Supplementary Information The online version contains supplementary material available at 10.1007/s13555-024-01141-z.

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Section: Discussionmentioning

confidence: 99%

Current Diagnostic and Therapeutic Practices in Alopecia Areata in Two Mediterranean Countries: A Survey-Based Study

Starace,

Pampaloni,

Lazaridou

et al. 2024

Dermatol Ther (Heidelb)

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“…Trichoscopy is a non-invasive technique used to examine the hair and scalp, which provides valuable information about various characteristics. The most commonly observed trichoscopic features in AGA include variations in hair diameter (anisotrichosis), peripilar signs (brown or white halo surrounding a hair follicle), the presence of yellow or white dots (a marker of severe AGA), a honeycomb pattern of pigmentation (seen in individuals with darker skin tones), bald patches, and arborizing red lines [ 16 ].…”

Section: Reviewmentioning

confidence: 99%

Comparing Current Therapeutic Modalities of Androgenic Alopecia: A Literature Review of Clinical Trials

Bajoria,

Dave,

Rohit

et al. 2023

Cureus

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Androgenic alopecia (AGA), commonly known as male pattern baldness (MPB), is a hereditary condition characterized by hair follicles that are sensitive to androgens. This article focuses on examining the recent advancements in the comprehension and management of AGA. The genetic factors and pathophysiology of AGA, including the role of dihydrotestosterone (DHT) and the androgen receptor gene, are discussed. The consequences of hair loss on self-esteem and identity, as well as on mental health, are examined. Diagnostic methods, such as the hair-pull test and trichoscopy, are discussed. The article also presents the Hamilton-Norwood classification, which is the most commonly employed system for classifying MPB. The article then delves into the various treatment options available, including topical minoxidil, oral finasteride, plateletrich plasma therapy, low-level light therapy, hair transplant, and other alternative treatments. The efficacy and combination therapies for these treatments are examined. Additionally, emerging treatments such as caffeine-based solutions and prostaglandin inhibitors are discussed. By examining the recent advancements in AGA treatment, this article provides a comprehensive overview for healthcare professionals to make informed decisions when selecting the best treatment options for their patients.

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“…6 There are no specific dermoscopic findings for telogen effluvium; however, the presence of hair regrowth and the predominance of follicular openings with a single sprouting hair shaft may suggest this condition. 7 Therefore, dermoscopy can assist clinicians in correctly diagnosing a patient's condition and determining the its etiology, allowing for early and effective treatment. Tinea capitis is a typical superficial dermatophyte infection that commonly occurs in prepubescent children and is uncommon in adults because the pH level of the scalp shifts during puberty and the amount of sebum that contains saturated fatty acids increases.…”

Section: The Diagnosismentioning

confidence: 99%

Asymptomatic Hair Loss in a Patient With Systemic Lupus Erythematosus

Choi

2023

Cutis

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A 51-year-old woman residing in the Hainan Province, China, was referred to our hospital for treatment of recurrent joint pain that could not be controlled at the local hospital. She had a history of systemic lupus erythematosus with a Systemic Lupus Erythematosus Disease Activity Index score of 8 (mild activity). Physical examination revealed irregular patches of hair loss on the head. There also were remnants of hair in some areas with black dots at the follicular opening and perifollicular keratotic papules interspersed as well as a few pale erythematous spots and white adherent scales. WHAT'S YOUR DIAGNOSIS?a. androgenetic alopecia b. lupus-related alopecia c. seborrheic dermatitis d. telogen effluvium e. tinea capitis

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Actualización en tricoscopia

Cited by 9 publications

References 34 publications

Current Diagnostic and Therapeutic Practices in Alopecia Areata in Two Mediterranean Countries: A Survey-Based Study

Current Diagnostic and Therapeutic Practices in Alopecia Areata in Two Mediterranean Countries: A Survey-Based Study

Comparing Current Therapeutic Modalities of Androgenic Alopecia: A Literature Review of Clinical Trials

Asymptomatic Hair Loss in a Patient With Systemic Lupus Erythematosus

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