Top Clinical Insights: Challenging Cases in Alopecia
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Clinical Practice
- Central Centrifugal Cicatricial Alopecia is an autosomal dominant condition that can be exasperated by hairstyles.
- Don't forget to ask about glue use in women with hair loss. It can cause irreversible alopecia and the ingredients have been associated with anaphylaxis.
- Tinea capitis is often associated with occipital and/or postauricular lymphadenopathy. When you see recurrent tinea corporis, check the scalp for tinea capitis.
- Loose anagen hair syndrome is characterized by painless hair plucking but in young girls age 2-6 and should improve over time. Parents report hair that just doesn't grow.
- Lab testing is not required for patients with the diagnosis of alopecia areata unless they have symptoms of autoimmune disease.
- Patients with alopecia areata often describe a sensation of tingling or burning. This can be a clue to diffuse alopecia areata.
- N-acetylcysteine 1200-2400 mg QD can be helpful for hair pulling and skin picking. Caution for GI side effects.