The role of scalp dermoscopy in the diagnosis of alopecia areata incognita

被引:118
作者
Tosti, Antonella [1 ]
Whiting, David [3 ]
Iorizzo, Matilde [1 ]
Pazzaglia, Massimiliano [1 ]
Misciali, Cosimo [1 ]
Vincenzi, Colombina [1 ]
Micali, Giuseppe [2 ]
机构
[1] Univ Bologna, Dept Dermatol, I-40138 Bologna, Italy
[2] Univ Catania, Dept Dermatol, I-95124 Catania, Italy
[3] Baylor Hair Res & Treatment Ctr, Dallas, TX USA
关键词
D O I
10.1016/j.jaad.2008.03.031
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 [皮肤病与性病学];
摘要
Background: Alopecia areata incognita is a variety of alopecia areata characterized by acute diffuse shedding of telogen hairs without typical patches. Objective. We sought to report the clinical, pathological, and dermoscopic features of alopecia areata incognita. Methods: Seventy patients with alopecia areata incognita were evaluated clinically and with videodermoscopy during the period of 2002 to 2006. Pathology was performed in 50 patients. Results: The presence of numerous, diffuse, round or polycyclic yellow dots, different in size and uniform in color and distribution, was a typical dermoscopic feature in all patients. Short regrowing hairs were also present. The dermoscopic findings were correlated and supported by the histologic features of the scalp specimens. Limitations: Scalp biopsy was performed only in 50 patients. Conclusion: Videodermoscopy is a first step before performing a biopsy. It can help the clinician to find the right place to take the sample, but can also avoid unnecessary biopsies.
引用
收藏
页码:64 / 67
页数:4
相关论文
共 5 条
[1]
Videodermatoscopy enhances diagnostic capability in some forms of hair loss [J].
Lacarrubba, F ;
Dall'Oglio, F ;
Nasca, MR ;
Micali, G .
AMERICAN JOURNAL OF CLINICAL DERMATOLOGY, 2004, 5 (03) :205-208
[2]
ALOPECIA-AREATA INCOGNITA - A HYPOTHESIS [J].
REBORA, A .
DERMATOLOGICA, 1987, 174 (05) :214-218
[3]
Videodermoscopy in the evaluation of hair and scalp disorders [J].
Ross, Elizabeth K. ;
Vincenzi, Colornbina ;
Tosti, Antonella .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2006, 55 (05) :799-806
[4]
Acute diffuse and total alopecia of the female scalp - A new subtype of diffuse alopecia areata that has a favorable prognosis [J].
Sato-Kawamura, M ;
Aiba, S ;
Tagami, H .
DERMATOLOGY, 2002, 205 (04) :367-373
[5]
Tosti A., 2007, Dermoscopy of Hair and Scalp Disorders: With Clinical and Pathological Correlations