DERMATOPHILE
Whats missing from this picture? An approach to alopecia in children
Correspondence to:
Dr P A Lio, Childrens Hospital Boston, Fegan 6 Dermatology, 300 Longwood Avenue, Boston, MA 02115, USA; peter.lio@childrens.harvard.edu
| The first 150 words of the full text of this article appear below. |
Etiam capillus unus habet umbram suam (Even a single hair casts a shadow)Publilius Syrus
Hair loss carries with it a tremendous emotional and psychological burden for the patient.1 It can also be very daunting both diagnostically and therapeutically for the clinician. With entities ranging from Shokeir syndrome to citrullinaemia, the differential diagnosis of alopecia overwhelms at first blush. Fortunately, when we focus on children, especially otherwise healthy children with previously normal hair, the considerable number of possibilities falls precipitously and we are left with a not-so-daunting few.
In this review, we will focus on four of the most common causes of alopecia in children: telogen effluvium, trichotillomania, tinea capitis and alopecia areata.2 Although perhaps seemingly straightforward, there are a number of pearls and perils in sorting out these entities and selecting treatment that I hope to explore.
INTRODUCTION
Telogen effluvium refers to an abnormality of the normal hair
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