New Trichoscopy Findings in Trichotillomania: Flame Hairs, V-sign, Hook Hairs, Hair Powder, Tulip Hairs

被引:52
作者
Rakowska, Adriana [1 ]
Slowinska, Monika [1 ]
Olszewska, Malgorzata [2 ]
Rudnicka, Lidia [1 ,3 ,4 ]
机构
[1] CSK MSW, Dept Dermatol, Warsaw, Poland
[2] Med Univ Warsaw, Dept Dermatol, Warsaw, Poland
[3] Med Univ Warsaw, Fac Hlth Sci, Warsaw, Poland
[4] Polish Acad Sci, Mossakowski Med Res Ctr, Dept Neuropeptides, Warsaw, Poland
关键词
alopecia areata; dermoscopy; dermatoscopy; diagnosis; exclamation mark hair; tinea capitis; ALOPECIA-AREATA UPDATE; PULLING DISORDER; TINEA-CAPITIS; DERMOSCOPY; THERAPY;
D O I
10.2340/00015555-1674
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Differential diagnosis of trichotillomania is often difficult in clinical practice. Trichoscopy (hair and scalp dermoscopy) effectively supports differential diagnosis of various hair and scalp diseases. The aim of this study was to assess the usefulness of trichoscopy in diagnosing trichotillomania. The study included 370 patients (44 with trichotillomania, 314 with alopecia areata and 12 with tinea capitis). Statistical analysis revealed that the main and most characteristic trichoscopic findings of tricho-tillomania are: irregularly broken hairs (44/44; 100% of patients), v-sign (24/44; 57%), flame hairs (11/44; 25%), hair powder (7/44; 16%) and coiled hairs (17/44; 39%). Flame hairs, v-sign, tulip hairs, and hair powder were newly identified in this study. In conclusion, we describe here specific trichoscopy features, which may be applied in quick, non-invasive, in-office differential diagnosis of trichotillomania.
引用
收藏
页码:303 / 306
页数:4
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