All that a dermatotrichologist needs to know about hair camouflage: A comprehensive review

Daruwalla, Sanober Burzin; Dhurat, Rachita; Hamid, Sayyad Ajara Tabassum

doi:10.4103/ijt.ijt_6_21

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…Patients often used extensive camouflage techniques to hide the effect of AA. These are extensive, time‐consuming, and very costly 62‐64 . Concealment strategies were used by 90% of women and 72% of men at first symptoms of hair loss 18 .…”

Section: Resultsmentioning

confidence: 99%

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The burden of alopecia areata: A scoping review focusing on quality of life, mental health and work productivity

Muntyanu

Gabrielli

Donovan

et al. 2023

Acad Dermatol Venereol

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Alopecia areata (AA) is a common inflammatory autoimmune disease of the hair which can have a significant negative impact on quality of life (QoL), mental health and productivity. The aim of this scoping review is to elucidate the burden of AA focusing on these three realms. Inclusion criteria included all original manuscripts with no restriction on study type or statistical method written in English (or having an English abstract). For QoL 40 articles were included, 85 for psychiatric comorbidities, and 9 for work/school absenteeism/presenteeism mostly consisting of cross‐sectional and observational cohort studies. QoL impairment was detected in over 75% of patients and up to one‐third reported extremely severe QoL impairments. Specific QoL dimensions with the greatest impact were embarrassment, social functioning, as well as shopping and/or housework. Cross‐sectional studies assessing the psychological burden of adult patients with AA found that the presence of signs of anxiety and/or depression ranged from 30% to 68% and affected all age groups. Rates of work absenteeism and unemployment were significantly higher in AA patients compared to healthy controls. Up to 62% reported making major life decisions including relationships, education and career based on their AA. Additionally, the extensive camouflage techniques and time lost from work led to a strong financial burden for patients and the numerous physician visits added to the healthcare costs. The overall impact of AA stretches much further than simply being an aesthetic concern and can negatively impact every part of an individual's life. An individualized approach and effective treatments will help reduce the psychosocial consequences and distress and return patients to their normal state of health.

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Section: Resultsmentioning

confidence: 99%

“…These are extensive, time-consuming, and very costly. [62][63][64] Concealment strategies were used by 90% of women and 72% of men at first symptoms of hair loss. 18 In a survey assessment of patients with hair loss (82.6% had AA), wigs were used by 86.7% of patients to socialize and by 55.9% at all times.…”

Section: Life Beyond Work/schoolmentioning

confidence: 99%

The burden of alopecia areata: A scoping review focusing on quality of life, mental health and work productivity

Muntyanu

Gabrielli

Donovan

et al. 2023

Acad Dermatol Venereol

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“…Camouflaging techniques can range from temporary solutions, such as wigs, hair thickening fibers, and hair styling products, to more permanent methods, such as scalp micropigmentation. 20 However, direct contact of these products with the scalp, especially in areas of hair loss or thinning, can cause scalp ACD. Wigs are made from a variety of materials, many of which contain allergens.…”

Section: Topical Medicationsmentioning

confidence: 99%

Allergic contact dermatitis of the scalp: a review of an underdiagnosed entity

Hwang,

Beatty,

Khobzei

et al. 2024

International Journal of Women’s Dermatology

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Background: It is hypothesized that scalp allergic contact dermatitis (ACD) in women is commonly mistaken for other disorders due to overlapping symptoms and unique clinical presentations. Objective: This study reviews the potential underdiagnosis and misdiagnosis of scalp ACD and explores ways to improve diagnostic accuracy. Methods: This study conducted an extensive literature review to identify diagnostic challenges, common misdiagnoses, and diagnostic approaches for scalp ACD, focusing on standard versus targeted patch testing techniques. Results: Scalp ACD, often misdiagnosed as seborrheic dermatitis due to similar symptoms, has atypical presentations such as hair thinning, hair loss, and erythematous lesions affecting neighboring regions. Trichoscopy can help distinguish scalp ACD, identifying its patchy distribution of thin white scales, in contrast to the yellow scaling of seborrheic dermatitis. Standardized patch testing further contributes to diagnostic errors, with a study reporting 83% of patients who tested negative with standardized patch tests were positive when using their personal products. Individualized patch testing is more effective in identifying causative allergens and accurately diagnosing scalp ACD. Limitations: It is a retrospective review. Conclusion: Several factors contribute to scalp ACD’s misdiagnosis for conditions such as seborrheic dermatitis. The significant discrepancy in ACD detection rates between personalized and standardized patch tests in women emphasizes the importance of using patient-specific products in diagnostic testing. Incorporating scalp ACD more readily into one’s differential, employing individualized patch testing with trichoscopy, and accounting for neighboring symptomatic areas are all crucial elements in improving diagnostic accuracy for scalp ACD in women.

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“…These include hairpieces (wigs, demiwigs, wiglets, toupees, cascades), hair thickening fibers, concealing powders. 32 Semipermanent options include scalp micropigmentation which is a tattoo applied in a stippling pattern to mimic hair follicles. Realistic non-traumatic sticker tattoos can be useful for eyebrow regions and are a painless option in those who do not want a permanent option.…”

Section: Camouflagementioning

confidence: 99%

Alopecia Areata: An Updated Review for 2023

Sibbald

2023

J Cutan Med Surg

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All that a dermatotrichologist needs to know about hair camouflage: A comprehensive review

Cited by 6 publications

References 11 publications

The burden of alopecia areata: A scoping review focusing on quality of life, mental health and work productivity

The burden of alopecia areata: A scoping review focusing on quality of life, mental health and work productivity

Allergic contact dermatitis of the scalp: a review of an underdiagnosed entity

Alopecia Areata: An Updated Review for 2023

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