Document Detail


Significance of dermoscopy in acute diffuse and total alopecia of the female scalp: review of twenty cases.
MedLine Citation:
PMID:  18799878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Acute diffuse and total alopecia of the female scalp (ADTAFS) is a new subtype of alopecia areata that is characterized by rapid progression of diffuse alopecia of the female scalp, marked female predominance and a favorable prognosis. Differential diagnosis of other types of diffuse alopecia such as female pattern hair loss (FPHL) is necessary in some cases. OBJECTIVE: To describe dermoscopic findings of ADTAFS and to investigate the possibility of utilizing dermoscopy as a diagnostic tool for ADTAFS. METHODS: Twenty cases of ADTAFS diagnosed by clinical and/or histological findings were examined by dermoscopy. RESULTS: Cadaverized hairs (black dots), exclamation mark hairs (tapering hairs), broken hairs or yellow dots were seen in 18, 13, 19 and 17 out of 20 cases, respectively. One of these signs was seen in all cases (20/20). On the other hand, none of 12 cases with exclusively FPHL showed the dermoscopic features such as cadaverized hairs, exclamation mark hairs or broken hairs. Only 1 FPHL patient showed a yellow dot in the hair loss area. CONCLUSION: Dermoscopy is a helpful diagnostic tool for ADTAFS, especially to distinguish it from FPHL.
Authors:
Shigeki Inui; Takeshi Nakajima; Satoshi Itami
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Publication Detail:
Type:  Journal Article     Date:  2008-09-18
Journal Detail:
Title:  Dermatology (Basel, Switzerland)     Volume:  217     ISSN:  1421-9832     ISO Abbreviation:  Dermatology (Basel)     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-06     Completed Date:  2009-01-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203244     Medline TA:  Dermatology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  333-6     Citation Subset:  IM    
Copyright Information:
2008 S. Karger AG, Basel.
Affiliation:
Department of Regenerative Dermatology, Graduate School of Medicine, Osaka University, Suita, Japan. inui@r-derma.med.osaka-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Administration, Cutaneous
Administration, Oral
Adolescent
Adrenal Cortex Hormones / therapeutic use
Adult
Alopecia / diagnosis*,  drug therapy
Alopecia Areata / diagnosis
Dermoscopy* / methods
Diagnosis, Differential
Female
Hair / pathology*
Humans
Injections, Intravenous
Middle Aged
Retrospective Studies
Scalp Dermatoses / diagnosis,  drug therapy
Sensitivity and Specificity
Treatment Outcome
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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