Pediatr. praxi. 2024;25(1):32-38 | DOI: 10.36290/ped.2024.006

Differential diagnosis of alopetia in children and adolescents

MUDr. Barbara Ivanková, MBA1, MUDr. Hana Juhásová1, doc. MUDr. Janette Baloghová, PhD.1, 2
1 Klinika dermatovenerológie, Univerzitná nemocnica L. Pasteura, Košice
2 Lekárska fakulta Univerzity P. J. Šafárika, Košice

Alopetia in children and adolescents is a common worrying problem that we encounter in primary pediatric care environment and has heterogeneous causes. Early diagnosis and treatment are key in pedaitric population due to the significant psychosocial impact. The most common causes of hair loss in the pediatric population include alopetia areata, tinea capitis, congenital alopetia, trichotylomania and hair cycle disorders. In this review, the autors present a basic diagnostic algorithm that can help the pediatrician to focus on the causes of hair loss, supplement basic laboratory tests and refer patient to the approprite specialist. Alopetia management strategy in children includes interdisciplinary cooperation between pediatricians, dermatologist, endocrinologist and psychologist.

Keywords: alopetia in children and adolescents, diferencial diagnosis, scaring alopetia, non-scaring alopetia, medical history, laboratory and physical examinantion, interdisciplinary cooperation.

Accepted: February 12, 2024; Published: February 19, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Ivanková B, Juhásová H, Baloghová J. Differential diagnosis of alopetia in children and adolescents. Pediatr. praxi. 2024;25(1):32-38. doi: 10.36290/ped.2024.006.
Download citation

References

  1. Xu L, Liu KX, Senna MM. A practical Approach to the Diagnosis and Management of Hair Loss in Children and Adolescents. Front Med (Lausanne). 2017;24:112. doi: 10.3389/fmed.2017.00112. Go to original source... Go to PubMed...
  2. Jackson AJ, Price VH. How to diagnose hair loss. Dermatol Clin. 2013;31(01):21-28. Go to original source... Go to PubMed...
  3. Braun-Falco O, Plewig G, Wolf H. Dermatológia a venerológia. Martin: Osveta. 2001;922.
  4. Ivanková B, Baloghová J, Podracká A, et al. Alopécia pri lupuis erythematosus. Čes. Dermatovenerol. 2023;1:27-32. Go to original source...
  5. Šimaljaková M. Choroby vlasov I. Dermatol. prax. 2011;5(2): 31-34.
  6. Tosti A, Asy-Sigall D, Pirmez R. Hair and Scalp Treatments. Springer Nature Switzerland AG. 2020;147-148. Go to original source...
  7. Sukhbir S, Kumaresan M. Practical Approach to Hair Loss Diagnosis - Indian J Plast Surg. 2021;54(4):399-403. Go to original source... Go to PubMed...
  8. Miteva M, Tosti A. Hair and scalp dermatoscopy. J Am Acad Dermatol. 2012;67(5):1040-1048. Go to original source... Go to PubMed...
  9. Mubki T, Rudnicka L, Olszawska M, et al. Evaluation and diagnosis of the hair loss patient part II. Trichoscopic and laboratory evaluation. J Am Acad Dermatol. 2014;03:4310-4.31E13. [PubMed] [Google Scholar]. Go to original source... Go to PubMed...
  10. Özcan D, Özen Ö, Seçkin D. Vertical vs. transvrse sections of scalp biopsy specimes: a pilot study on the comparison of the diagnostic value of two techniques in alopetia. Clin exp Dermatol. 2011;36(08):855-863. Go to original source... Go to PubMed...
  11. Mirmirani P, Huang KP, Prince VH. A practical algorithmic approach to diagnosing hair shaft disorders. Int J Dermatol. 2011;50(01):1-12. Go to original source... Go to PubMed...
  12. Kolivras A, Thompson C. Primary scalp alopetia: new histopathological tools, new concepts and a practical guide to diagnosis. J Cutan Pathol 2017;(44):53-69. Go to original source... Go to PubMed...
  13. Alves R, Grimalt R. Hair loss in children. Curr Probl Dermatol. 2015;47:55-66.doi: 10.1159/000369405. Go to original source... Go to PubMed...
  14. Badocs LA, Bruckner AL. Adolescet hair loss. Curr Opin Pediatr. 2008;20(4):431-435. doi:10.1097/MOP.0b013e328305e285. Go to original source... Go to PubMed...
  15. Baigrie D, Troxell T, Cook C. Nevus Sebaceus. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan- PMID:29494100.
  16. Garcis-Ladaria J, Cuadrado Rosón M, Pascual-López M. Epidermal Nevi and Related Syndromes - Part 2: Nevi Derived from Adnexal Structures. Actas Dermosifiliogr (Engl Ed.) 2018;109(9):687-698. Go to original source...
  17. Wali GN, Felton SJ, McPherson T. Management of nevus sebaceous: a national survey of UK dermatologists and plastic surgeons. Clin Exp Dermatol. 2018;43(5):599-604. Go to original source... Go to PubMed...
  18. Blionas A, Giakoumettis D, Antoinades E, et al. Aplasia cutis congenita: Two case reports and discussion of the literature. Surg Neurol Int. 2017;8:273. Go to original source... Go to PubMed...
  19. Brezinski P, Pinteala T, Chiriac AE, et al. Aplasia cutis congenita of the scalp - what are the steps to be followed? Case report and review of the literature. An Bras Dermatol. 2015;90(1):100-103. doi: 10.1590/abd1806-4841.20153078. Go to original source... Go to PubMed...
  20. Cranwell W, Sinclair R. Common causes of pediatric alopetia. Aust J Gen Pract. 2018;47(10):692-696. doi:10.31128/AJGP-11-17-4416. Go to original source... Go to PubMed...
  21. Brown L, Skopit S. An excellent response to tofacitinib in pediatric alopetia patient: a case report and review. J Drugs Dermatol. 2018;17(8):914-917.
  22. Barton VR, Toussi A, Awasthi S, et al. Treatment of pediatric alopetia areata: A systematic review. J Am Acad Dermatol. 2022;86(6):1318-1334. doi: 10.1016/j.jaad.2021.04.077. Go to original source... Go to PubMed...
  23. Zaraa I, Hawilo A, Aounallah A, et al. Inframmatory tinea capitis: a 12-year study and review of the literature. Mycoses 2013;56(2):110-116. doi:10.1111/j.1439-0507.2012.02219x. Go to original source...
  24. Moriatty B, Hay R, Morris-Jones R. The diagnosis and mana­gement of tinea. BJM (2012) 345:e4380. doi:10.1134/bjm.e4380. Go to original source...
  25. Gaopande VL, Kulkarni MM, Joshi AR, et al. Perifolliculitis Capitis Abscendens et Suffoidens in a 7 Years Male: A Case Report with Review of Literature. Int J Trichology 2015;7(4):173-175. Go to original source... Go to PubMed...
  26. Vorčáková K, Péčová K, Madleňák M, et al. Hidradenitis suppurativa - terapeutická výzva pre dermatológa. Dermatol. Prax. 2021;15(2):62-67.
  27. Scheinfeld N. Dissecting cellulitis (perifolliculitis capitis abscendens et suffoidens): A comprehensive review focusing on new treatments and findings of the last decade with commentry comparing the therapies and causes od dissecting cellilitis to hidradenitis suppurativa. Dermatol Online J 2014;20(5):22692. Go to original source...
  28. Rallis E, Verros C, Katoulis A. Perifolliculitis Capitis Abscendens et Suffoidens Treated with Systemic Isotretionin onotherapy: Case Report and Review of Current Therapeutic Options. Acta Dermatovenerologica Croatica 2022;30(4):256-260.
  29. Harth W, Blume-Peytavi U. Psychotrichology: Psychosomatic aspects of hair diseases. J Ditsch Dermatol Ges. 2013;11:125-135. Go to original source...
  30. Ivanková B, Baloghová J. Psychosomatické aspekty v trichológii. Dermatol. prax. 2023;17(1):32-35.




Pediatrics for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.