Hair Loss in Children

Leung, Alexander K. C.; Robson, Wm. Lane M.

doi:10.1177/146642409311300509

Cited by 5 publications

(4 citation statements)

References 19 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Alopecia areata is sometimes associated with other autoimmune conditions such as allergic disorders, thyroid disease, vitiligo, lupus, rheumatoid arthritis and ulcerative colitis. [1][2][3] In the first case presented in this report, alopecia was associated with atopies such as eczema, asthma and allergic rhinitis, which may be associated with a poor prognosis. Laboratory investigations may reveal non-specific abnormalities; the IgE level of the first boy was elevated whereas the IgE level of the second girl with alopecia universalis was normal.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Unusual loss of body hair in childhood: Trichotillomania or alopecia

Hon

Leung

2008

Adv Therapy

View full text Add to dashboard Cite

Hair loss (alopecia) is a relatively common problem in childhood and the underlying pathophysiology and manifestations are diverse. We report four cases of hair loss with unusual distributions and discuss the outcome of their management. One child had alopecia with unilateral loss of hair over the eyebrow. He received topical corticosteroids and tacrolimus and his condition resolved. A girl had scalp alopecia which evolved to alopecia universalis. The mother and the child were non-compliant with treatment. A boy had alopecia totalis not responsive to Western or alternative treatment. The fourth child had trichotillomania and bizarre loss of scalp hair. Mother and child received psychological counselling and the child's hair loss improved. It is important to differentiate between alopecia and trichotillomania as the management is very different. Diagnosis and treatment are based on clinical assessment, evaluation of coexisting psychosocial factors and exclusion of autoimmune and other underlying disorders. In alopecia totalis or universalis, alternative therapy is often sought and tried for prolonged periods but efficacy has remained unproven. These cases serve to illustrate the principles of management of children with unusual patterns of hair loss.

show abstract

Section: Discussionmentioning

confidence: 90%

“…[1][2][3] We report four cases of hair loss with unusual or extensive distribution and discuss the outcome of their management.…”

Section: Introductionmentioning

confidence: 96%

Unusual loss of body hair in childhood: Trichotillomania or alopecia

Hon

Leung

2008

Adv Therapy

View full text Add to dashboard Cite

show abstract

“…13,14 To better categorize the epidemiologic profile, clinical features, and disease associations of LAHS compared with other forms of childhood alopecia, we performed a retrospective medical record review of all children diagnosed as having alopecia in a referral-based academic practice over a 10-year period. Correct classification of LAHS in children based on these categories not only will help the practitioner arrive at a correct diagnosis but also will obviate the need for unnecessary laboratory investigations, invasive procedures, or undue anxiety in pediatric patients and their families.…”

mentioning

confidence: 99%

“…Unlike other nonscarring childhood hair disorders such as alopecia areata and androgenetic alopecia that may have associated autoimmune or hormonal findings and may require further laboratory testing based on clinical presentation and family history, most patients with LAHS have no associated laboratory test result abnormalities, although a formal study has not been performed to verify this assertion. 13,14 To better categorize the epidemiologic profile, clinical features, and disease associations of LAHS compared with other forms of childhood alopecia, we performed a retrospective medical record review of all children diagnosed as having alopecia in a referral-based academic practice over a 10-year period. Correct classi-fication of LAHS in children based on these categories not only will help the practitioner arrive at a correct diagnosis but also will obviate the need for unnecessary laboratory investigations, invasive procedures, or undue anxiety in pediatric patients and their families.…”

mentioning

confidence: 99%

Practical Guidelines for Evaluation of Loose Anagen Hair Syndrome

Cantatore-Francis¹,

Orlow²

2009

Arch Dermatol

View full text Add to dashboard Cite

show abstract

Pediatric Alopecia Areata

Afford

Leung

Lam

2021

CPR

View full text Add to dashboard Cite

Background: Alopecia areata (AA) is a non-scarring hair loss disorder of autoimmune etiology. Objective: To familiarize physicians with the clinical presentation, diagnosis, evaluation, and management of pediatric alopecia areata. Methods: The search term "Alopecia areata" was entered into a Pubmed search. A narrow scope was applied to the categories of "epidemiology", "clinical diagnosis", "investigations", "comorbidities", and "treatment". Meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews were included. Only papers published in the English language were included. A descriptive, narrative synthesis was provided of the retrieved articles. Results: AA is an autoimmune disease of unknown etiology. It is the third most common dermatologic presentation in children with a lifetime risk of 1-2%. Diagnosing AA can be made on the basis of the history and clinical findings. Patients will often present with patchy, non-scarring hair loss generally affecting the scalp. History may reveal a personal or family medical history of autoimmune or atopic disease or a recent stressful event. Tricoscopic examination will classically show “exclamation point hairs” and “yellow dots”. Nonspecific nail changes may be present. Other clinical variants include alopecia totalis, alopecia universalis, ophiasis, sisaipho, and Canitis subita. There are multiple treatment options for AA including conservative treatment, and topical, oral, and injectable medications. Conclusion: AA is an autoimmune disease with a heterogenous presentation and unpredictable clinical course. Although there is no cure for AA, there are many current treatment options available to help manage this disfiguring disease.

show abstract

Hair Loss in Children

Cited by 5 publications

References 19 publications

Unusual loss of body hair in childhood: Trichotillomania or alopecia

Unusual loss of body hair in childhood: Trichotillomania or alopecia

Practical Guidelines for Evaluation of Loose Anagen Hair Syndrome

Pediatric Alopecia Areata

Contact Info

Product

Resources

About