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Acta Biomedica Scientia

Volume 11, Issue 2, 2024
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
EVALUATING TRICHOSCOPIC FEATURES FOR DIFFERENTIATING TINEA CAPITIS AND ALOPECIA AREATA IN CHILDREN
Author
Dr. Ashwak Ahmed1*, Dr. Chandan A
Email
keyword
Trichoscopy, Alopecia Areata, Tinea Capitis, Pediatric Hair Loss, Black Dots, Exclamation Mark Hairs, Zigzag Hairs, Short Broken Hairs, Yellow Dots, Hair Loss Diagnosis
Abstract
Pediatric hair loss, particularly in the form of alopecia areata (AA) and tinea capitis, presents unique diagnostic challenges. Early and accurate identification of the underlying cause of hair loss is essential for appropriate management and treatment. This study aimed to investigate the trichoscopic features of alopecia areata and tinea capitis in pediatric patients. A total of 20 patients, aged 12 years or older, with patchy scalp hair loss, were analyzed using clinical examinations, trichoscopic imaging, and laboratory tests. The study found distinct trichoscopic features for both conditions: comma-shaped hairs, zigzag hairs, black dots, and short broken hairs were predominant in tinea capitis, while exclamation mark hairs, yellow dots, and short vellus hairs were common in alopecia areata. Trichoscopy proved to be a non-invasive and highly effective diagnostic tool, providing a quick means of differentiating between these two conditions. Laboratory results confirmed fungal infection in 32.5% of tinea capitis cases, while all alopecia areata cases tested negative for fungal involvement. The findings highlight the importance of trichoscopy in diagnosing pediatric alopecia and tinea capitis, enabling clinicians to distinguish between the conditions based on characteristic hair patterns. These results underscore the growing significance of trichoscopy in clinical dermatology as a first-line tool for diagnosing scalp disorders.
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