Hair Disorders

Concomitant presentation of alopecia areata in siblings: A rare occurrence

“…The different morphological patterns of AA of the scalp are patchy, reticulate, diffuse, ophiasis, ophiasis inversa (sisapho) and totalis. [125] Among these, the diffuse variety and the reticulate pattern need histopathological confirmation to rule out telogen effluvium and malnutrition induced diffuse alopecia. The bad prognostic features include early onset, recurrent episodes, extensive nail involvement, ophiasis pattern, and association with atopy, Down syndrome, and autoimmune diseases.…”

“…The bad prognostic features include early onset, recurrent episodes, extensive nail involvement, ophiasis pattern, and association with atopy, Down syndrome, and autoimmune diseases. [25] The “Ophiasis” pattern extends from the hair margin into the scalp which is more commonly seen in children. [2] Among children, AA seems to be more common in primary school children, the eldest child, and children who are under psychological stress.…”

“…Care should be taken to try a particular treatment for at least 3 to 6 months before declaring it as ineffective. [5] The article is presented for the rarity of concomitant presentation of AA in siblings. The role of environmental factors in precipitating a concomitant attack in both the siblings is highlighted along with the special features of AA in children.…”