Clinical and histological challenge in the differential diagnosis of diffuse alopecia: female androgenetic alopecia, telogen effluvium and alopecia areata - part II

Werner, Betina; Mulinari‐Brenner, Fabiane

doi:10.1590/s0365-05962012000600010

Cited by 45 publications

(61 citation statements)

References 29 publications

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“…Onset is usually sudden and progression fluctuates but is self-limiting; in addition it often presents as a bitemporal regression of the hairline. 49,50 It has been suggested that the process is due to a decreased duration of the anagen phase, thereby impeding the growth of long hairs. 45,51 Biopsy reveals a scalp that hardly differs, if at all, from a normal scalp, with a slight increase in the percentage of follicles in telogen if the biopsy is performed during the most active phases.…”

Section: Telogen Effluviummentioning

confidence: 99%

Histologic Features of Alopecias–Part I: Nonscarring Alopecias

Bernárdez

Molina-Ruiz

Requena

2015

Actas Dermo-Sifiliográficas (English Edition)

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The diagnosis of disorders of the hair and scalp can generally be made on clinical grounds, but clinical signs are not always diagnostic and in some cases more invasive techniques, such as a biopsy, may be necessary. This 2-part article is a detailed review of the histologic features of the main types of alopecia based on the traditional classification of these disorders into 2 major groups: scarring and nonscarring alopecias. Scarring alopecias are disorders in which the hair follicle is replaced by fibrous scar tissue, a process that leads to permanent hair loss. In nonscarring alopecias, the follicles are preserved and hair growth can resume when the cause of the problem is eliminated. In the first part of this review, we describe the histologic features of the main forms of nonscarring alopecia. Since a close clinical-pathological correlation is essential for making a correct histologic diagnosis of alopecia, we also include a brief description of the clinical features of the principal forms of this disorder.

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Section: Telogen Effluviummentioning

confidence: 99%

Histologic Features of Alopecias–Part I: Nonscarring Alopecias

Bernárdez

Molina-Ruiz

Requena

2015

Actas Dermo-Sifiliográficas (English Edition)

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“…Common triggers include stress, hormonal fluctuations, medications, iron deficiency, trauma, and insufficient protein intake (Werner & Mulinari-Brenner, 2012). Common triggers include stress, hormonal fluctuations, medications, iron deficiency, trauma, and insufficient protein intake (Werner & Mulinari-Brenner, 2012).…”

Section: Telogen Effluviummentioning

confidence: 99%

Trichopsychodermatology: The Psychiatric and Psychosocial Aspects of Hair Disorders

Jafferany

Patel

2019

Dermatologic Therapy

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Medical conditions involving hair are typically managed by a dermatologist. However, a significant psychosocial association has been found both in the development of hair conditions through primary pathologic involvement and as secondary comorbidity.Trichopsychodermatology is an emerging field aiming to better understand the psychiatric and psychosocial impacts of disorders involving hair. Trichotillomania or hairpulling disorder, alopecia areata, telegenic effluvium, anagen effluvium, and cicatricial alopecia represent common conditions within trichopsychodermatology. A lack in awareness, knowledge, and training of the field exists, which can act as a barrier for improving patient outcomes. This review provides a holistic understanding of specific psychotrichologic conditions that healthcare providers may encounter in order to facilitate the process of developing high-quality future therapeutic interventions.

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“…Moreover, it is not uncommon for telogen effluvium to be superimposed on other forms of alopecia if patients experience an inciting event. Important differential diagnoses to consider include androgenetic alopecia (AGA), female pattern hair loss (FPHL), and diffuse AA (35, 36). Acute telogen effluvium occurs 3–4 months after an inciting event, lasts approximately 3 months, and spontaneously resolves, while chronic telogen effluvium usually lasts longer than 6 months.…”

Section: Hair Cycle Disturbancesmentioning

confidence: 99%

A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents

Liu

Senna

2017

Front. Med.

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Hair loss or alopecia is a common and distressing clinical complaint in the primary care setting and can arise from heterogeneous etiologies. In the pediatric population, hair loss often presents with patterns that are different from that of their adult counterparts. Given the psychosocial complications that may arise from pediatric alopecia, prompt diagnosis and management is particularly important. Common causes of alopecia in children and adolescents include alopecia areata, tinea capitis, androgenetic alopecia, traction alopecia, trichotillomania, hair cycle disturbances, and congenital alopecia conditions. Diagnostic tools for hair loss in children include a detailed history, physical examination with a focused evaluation of the child's hair and scalp, fungal screens, hair pull and tug test, and if possible, light microscopy and/or trichoscopy. Management of alopecia requires a holistic approach including psychosocial support because treatments are only available for some hair loss conditions, and even the available treatments are not always effective. This review outlines the clinical presentations, presents a diagnostic algorithm, and discusses management of these various hair loss disorders.

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Clinical and histological challenge in the differential diagnosis of diffuse alopecia: female androgenetic alopecia, telogen effluvium and alopecia areata - part II

Cited by 45 publications

References 29 publications

Histologic Features of Alopecias–Part I: Nonscarring Alopecias

Histologic Features of Alopecias–Part I: Nonscarring Alopecias

Trichopsychodermatology: The Psychiatric and Psychosocial Aspects of Hair Disorders

A Practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents

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