Neonatal Alopecia Due to Birth Trauma: Case Report and Trichoscopic Findings

Liberati, Giulia; Starace, Michela; Patrizi, Annalisa; Piraccini, Bianca Maria

doi:10.1111/pde.12882

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…Similarly, it has also been reported in neonates due to prolonged second stage of labor, birth trauma, or ventouse-assisted delivery. [ 8 9 ] The pressure required to cause ischemia and resultant PA may be variable in different individuals.…”

Section: Discussionmentioning

confidence: 99%

Trichoscopy of pressure-induced alopecia and alopecia areata: A comparative study

et al. 2022

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Background: Pressure-induced alopecia is an uncommon type of alopecia. It can occur in both scarring as well as non-scarring form and occurs due to ischemia resulting from prolonged head immobilisation during surgery or hospitalisation. The patchy hair loss generally involves convexities of scalp specially vertex and occiput. The hair loss is usually noticed 3 -28 days after the inciting event and regrowth of hair occurs between 1 – 4 months. Objective: To describe trichoscopic features of pressure alopecia and compare it with the closest differential, alopecia areata. Methodology: It is a retrospective observational study. Trichoscopic features of six cases of pressure alopecia seen during the study period were compared with alopecia areata and analyzed using appropriate statistical methods. Results: The study had 30 cases, six cases of pressure alopecia and 24 cases of alopecia areata. The mean age of patients with pressure alopecia and alopecia areata was 45.16 and 29.08 years respectively. Comedone- like black dots, black dots and area of scarring were statistically significant for pressure alopecia while exclamation mark hairs were significant for alopecia areata. Conclusion: Trichoscopy is a non-invasive test for diagnosis of alopecia and “Comedone-like black dots” are unique trichoscopic feature of pressure alopecia.

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Section: Discussionmentioning

confidence: 99%

Trichoscopy of pressure-induced alopecia and alopecia areata: A comparative study

et al. 2022

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“…Medical trauma hair loss is a condition in which some medical procedures initiate hair loss that can be transient or permanent (Griffiths et al 2016). Use of scalp electrodes, forceps, or vacuum extractors can cause neonatal alopecia (Liberati et al 2016). In adults, continuous prolonged pressure during long surgical procedures can cause transient, very rare permanent, alopecia (Regev et al 2006).…”

Section: Artefactual Alopeciamentioning

confidence: 99%

“…The chemistries can cause hair breakage, localized scalp, or folliculitis due to use pomades and heavy oils to protect the scalp during relaxing (Gummer 2002). Neonatal alopecia is presented with hairless patches without any other signs or symptoms (Liberati et al 2016). (Liberati et al 2016), and self-induced alopecia for adult patients with medical trauma hair loss (Regev et al 2006).…”

Section: Artefactual Alopeciamentioning

confidence: 99%

See 1 more Smart Citation

Disorders of Hair

Bagherani

Hasić-Mujanović

Smoller³

et al. 2021

Atlas of Dermatology, Dermatopathology and Venereology

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“…Tools used during the labor and delivery process, such as fetal scalp electrodes, forceps, and vacuum extractors can cause damage to the scalp and lead to hair loss [59]. Hair loss tends to take the shape of the instrument used and presents at or closely after birth [60][61][62]. Trichoscopy on one newborn with hair loss from a recent vacuum-assisted delivery showed diffuse telangiectasia and follicular ostia containing occasional vellus hairs [60].…”

Section: Other Trauma-induced Alopeciamentioning

confidence: 99%

Localized hair loss in infancy: a review

McKenzie

Castelo‐Soccio

2021

Current Opinion in Pediatrics

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Purpose of review The current review will address the different causes of localized hair loss in infancy. The data presented here will provide clinicians with the latest understanding of different disorders leading to localized hair loss and will provide recommendations for further management of infants who present with alopecia. Recent findings Localized hair loss in infancy is common, but its underlying causes vary greatly. Alopecia in infants can be categorized into congenital, genetic, inflammatory, mechanical, and physiologic causes. Decisions regarding further management are complex, as they often involve not only cosmetic concerns, but also work-up of possible systemic medical issues related to hair loss. Summary Clinicians must be able to distinguish between the different causes of infantile hair loss so that appropriate work-up and further management can be pursued. Factors such as physical appearance, timing of presentation, dermoscopic exam, histopathology, and associated systemic features can help lead clinicians to the correct diagnosis in the case of an infant with localized alopecia.

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Neonatal Alopecia Due to Birth Trauma: Case Report and Trichoscopic Findings

Cited by 7 publications

References 5 publications

Trichoscopy of pressure-induced alopecia and alopecia areata: A comparative study

Trichoscopy of pressure-induced alopecia and alopecia areata: A comparative study

Disorders of Hair

Localized hair loss in infancy: a review

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