Lichen Planopilaris is a Common Scarring Alopecia among Iraqi Population

Sharquie, Khalifa E.; Noaimi, Adil A.; Hameed, Aisha

doi:10.4236/jcdsa.2013.33a1005

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…Family history was negative in all patients and this is similar to what has been published [16]. The clinical picture of trichotillomania was not well elucidated in all previous reports but the present study for the first time had described well morphological patterns which might help in establishing the right diagnosis.…”

Section: Discussionsupporting

confidence: 89%

“…In alopecia are at a usually there is a complete hair loss or there is early complete hair growth and there is nothing between, and exclamation mark hair are good helpful diagnostic sign in favor alopecia areata especially in the early active form. The only type of alopecia areata that could not be easily separated from trichotillomania is the moth eaten alopecia which is not un common variety of alopecia areata [16], in addition the presence of nail changes are more in favor of alopecia areata, and lastly patient with trichotillomania almost always had obsessive compulsive neurosis.…”

Section: Discussionmentioning

confidence: 99%

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The Major Psychocutaneous Disorders in Iraqi Patients

Sharquie¹,

Noaimi²,

Younis³

et al. 2015

JCDSA

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Background: Many skin diseases can be evoked by psychological problems. Dermatological conditions could also lead to psychological disorders; hence psychodermatology is an emerging subspecialty that focuses on the interface of psychiatry and dermatology. Objective: To assess the frequency of the major disorders of so-called psychocutaneous disorders which are commonly seen among Iraqi population. Patients and Methods: This case descriptive study had been done in Department of Dermatology-Baghdad Teaching Hospital, Medical City, Baghdad, Iraq during the period from March 2011 to October 2013. All cases were collected and categorized according to the disease problem. Patients were interviewed to search for the main triggering and precipitating factors involved in pathogenesis of these disorders. The clinical picture was well described in order to reach a final diagnosis. Psychological interview and analysis were performed for all patients to reach the specific emotional and psychiatric disease by consultant psychiatrist. Results: A total of 100 patients with major psychocutaneous disorders were seen and evaluated. Nineteen were males and 81 were females with female to male ratio: 4.26:1. Their ages ranged from 7 -73 (26.5 ± 5.217) years. The frequency of these diseases was as follows: trichotillomania 53%, dermatitis artifacta 37%, delusion of parasitosis 6% and neurotic excoriation 4%. Conclusions: The major psychocutaneous diseases in Iraqi population were: trichotillomania, dermatitis artifacta and these are problems of mainly young females while delusion of parasitosis and neurotic excoriations were diseases of middle age females.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

The Major Psychocutaneous Disorders in Iraqi Patients

Sharquie¹,

Noaimi²,

Younis³

et al. 2015

JCDSA

Self Cite

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“…This finding agrees with a previous report [15]. Also, the present study showed that LP was the second disease responsible for red gums, affecting two (20%) female patients, although LP is a common problem in the Iraqi population [16,17]. This finding is inconsistent with previously mentioned studies [11,13].…”

Section: Discussionsupporting

confidence: 63%

Red gums as primary manifestations of skin diseases

Sharquie¹,

Hadi²,

Jabbar³

2022

Our Dermatol Online

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Background: Red gums, as a manifestation of chronic mucocutaneous diseases, is an infrequent oral complaint and are commonly due to plaque-induced gingival diseases in which a microbial biofilm and bad oral hygiene may precipitate gingivitis. Patients and Methods: This is descriptive, case-series study was conducted during the period from October 2019 to October 2020. Ten patients were presented primarily with red gums without an apparent identifiable cause. A full clinical history and examination were done. Laboratory investigations and biopsy were performed selectively. Results: Ten patients during the period of one year were included in this work. Two (20%) males and eight (80%) females were complaining of red gums. Their age on presentation ranged from 7 to 55 years, with a mean of 39.6 ? 12.4 years. Oral burning and discomfort with a bad odor were recorded in all patients, and this was moderate to severe, thus interfering with the process of consuming food. Also, gum bleeding after brushing or when minimally traumatized was a complaint in all patients. This study revealed that pemphigus vulgaris was the main diagnosis behind red gums in seven (70%) patients, followed by lichen planus in two (20%) patients, and viral reactionary gingival hyperplasia in one (10%) pediatric patient. Minimal skin involvement was observed in seven (70%) patients, with some patients unaware of its presence and it being discovered accidentally. Conclusion: Red gums are a common manifestation of chronic orodental conditions, yet could be part of systemic diseases and oral manifestations of primary cutaneous diseases. The current study highlighted that pemphigus vulgaris and lichen planus may initially and/or primarily present themselves as red gums, possibly delaying the proper diagnosis for months or even years. Hence, dermatologists and oral physicians should be aware of this clinical finding.

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“…The fringe sign, as evident in 90% of patients in the present work, has diagnostic importance, as it is absent in other types of alopecia such trichotillomania, alopecia areata, and scarring alopecia like follicular lichen planus. [ 25 ] We postulate that the hair at the front and sides of scalp is short and uninvolved by stress of traction. Wearing a turban is increasingly being utilized by Iraqi females as part of a modern hairstyle or hijab, especially in the last 10 years, so we can anticipate more associated traction alopecia as has become evident in Turkish women.…”

Section: Discussionmentioning

confidence: 99%

Traction Alopecia

Sharquie

Schwartz

Al-Janabi

et al. 2021

Indian Journal of Dermatology

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Background: Traction alopecia is common and preventable but frequently overlooked disorder. Objective: To evaluate patients with traction alopecia. Patients and Methods: This study was conducted at the Dermatology Center, Medical City, Baghdad, Iraq, during the period from November 2005 to October 2019. Demographic features like age, gender, disease duration and special hair styling practices and accessories were recorded. Clinical patterns were studied. Results: Thirty female patients were included in this study. Their ages ranged from 6 to 47 years with mean age ± SD was 15.63 ± 9.806. Twenty-one (70%) were below the age of 16 years. No patient had tightly curled hair. All cases were asymptomatic apart from hair loss. The fringe sign was observed in 27 (90%) of cases. The response to therapy was poor. Conclusion: Traction alopecia is an important type of pressure-induced hair loss evident in children and adults with or without curly hair due mainly due to cultural hair styling practices with its frequency apparently increasing in recent years. The fringe sign is common and of diagnostic importance. It is a preventable form of hair loss which can be reversed if diagnosed early; otherwise, permanent scarring alopecia results. It represents a pressure phenomenon evident worldwide in both non-Sub-Saharan lineage and Sub-Saharan lineage individuals.

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Lichen Planopilaris is a Common Scarring Alopecia among Iraqi Population

Cited by 3 publications

References 17 publications

The Major Psychocutaneous Disorders in Iraqi Patients

The Major Psychocutaneous Disorders in Iraqi Patients

Red gums as primary manifestations of skin diseases

Traction Alopecia

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