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Vol. 217, No. 4, 2008
Issue release date: November 2008
Section title: Clinical and Laboratory Studies
Dermatology 2008;217:333–336
(DOI:10.1159/000155644)

Significance of Dermoscopy in Acute Diffuse and Total Alopecia of the Female Scalp: Review of Twenty Cases

Inui S. · Nakajima T. · Itami S.
Department of Regenerative Dermatology, Graduate School of Medicine, Osaka University, Suita, Japan

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Article / Publication Details

First-Page Preview
Abstract of Clinical and Laboratory Studies

Received: 2/1/2008
Accepted: 3/22/2008
Published online: 9/18/2008

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM

Abstract

Background: Acute diffuse and total alopecia of the female scalp (ADTAFS) is a new subtype of alopecia areata that is characterized by rapid progression of diffuse alopecia of the female scalp, marked female predominance and a favorable prognosis. Differential diagnosis of other types of diffuse alopecia such as female pattern hair loss (FPHL) is necessary in some cases. Objective: To describe dermoscopic findings of ADTAFS and to investigate the possibility of utilizing dermoscopy as a diagnostic tool for ADTAFS. Methods: Twenty cases of ADTAFS diagnosed by clinical and/or histological findings were examined by dermoscopy. Results: Cadaverized hairs (black dots), exclamation mark hairs (tapering hairs), broken hairs or yellow dots were seen in 18, 13, 19 and 17 out of 20 cases, respectively. One of these signs was seen in all cases (20/20). On the other hand, none of 12 cases with exclusively FPHL showed the dermoscopic features such as cadaverized hairs, exclamation mark hairs or broken hairs. Only 1 FPHL patient showed a yellow dot in the hair loss area. Conclusion: Dermoscopy is a helpful diagnostic tool for ADTAFS, especially to distinguish it from FPHL.


  

Author Contacts

Shigeki Inui
Department of Regenerative Dermatology
Graduate School of Medicine, Osaka University
2-2 G2 Yamadaoka, Suita, Osaka 565-0871 (Japan)
Tel. +81 6 6879 3960, Fax +81 6 6879 3962, E-Mail inui@r-derma.med.osaka-u.ac.jp

  

Article Information

Received: February 1, 2008
Accepted: March 22, 2008
Published online: September 18, 2008
Number of Print Pages : 4
Number of Figures : 2, Number of Tables : 1, Number of References : 17

  

Publication Details

Dermatology

Vol. 217, No. 4, Year 2008 (Cover Date: November 2008)

Journal Editor: Saurat J.-H. (Geneva)
ISSN: 1018–8665 (Print), eISSN: 1421–9832 (Online)

For additional information: http://www.karger.com/DRM


Article / Publication Details

First-Page Preview
Abstract of Clinical and Laboratory Studies

Received: 2/1/2008
Accepted: 3/22/2008
Published online: 9/18/2008

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM


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