{"title":"Androgenetic Alopecia Care Requires Greater Evidence-based Guidance.","authors":"Glen S Jankowski","doi":"10.4103/ijt.ijt_66_23","DOIUrl":"10.4103/ijt.ijt_66_23","url":null,"abstract":"","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"94-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalia Caballero Uribe, Elisa Casañas-Quintana, Ralph Michel Trüeb
{"title":"Frequency of Types of Alopecia in a Single-centre Hair Referral Clinic Over a Ten Years Period.","authors":"Natalia Caballero Uribe, Elisa Casañas-Quintana, Ralph Michel Trüeb","doi":"10.4103/ijt.ijt_57_24","DOIUrl":"10.4103/ijt.ijt_57_24","url":null,"abstract":"<p><strong>Background: </strong>The frequencies of the different types of alopecia in hair referral centres have so far been reported in a single multicentre study at multiple specialist hair clinics over a time period of one month.</p><p><strong>Aim: </strong>Single center studies over a longer time-frame offer a more representative and homogeneous study population with regard to ethnic, demographic, and climatic factors, and seasonality of hair growth and shedding than multicenter studies over a short time frame.</p><p><strong>Materials and methods: </strong>Retrospective study of patient data at a single centre over 10 years.</p><p><strong>Results: </strong>A total of 15'211 patients (73% female, 27% male) were included, and we found the following frequencies: pattern hair loss (67%), alopecia areata (11%), the cicatricial alopecias (11%), and telogen effluvium (7%). Among the cicatricial alopecias, the most frequent diagnosis was frontal fibrosing alopecia (33% of cicatricial alopecias), followed in order of frequency by lichen planopilaris (19%), fibrosing alopecia in a pattern distribution (18%), folliculitis decalvans (8%), discoid lupus (5.5%), and dissecting cellulitis (2%). Some specific types of alopecia were observed more frequently in women, others in men, with a predominance of central centrifugal cicatricial alopecia and traction alopecia in women of African origin, and dissecting cellulitis of the scalp and acne keloidalis in men of African origin. The proportion of patients under the age of 10 years was 2.4%. Among the pediatric hair conditions were in order of frequency: alopecia areata (39%), prepubertal pattern hair loss (24%), telogen effluvium (6%), hereditary hypotrichosis (6%), congenital triangular alopecia (4%), short anagen hair (4%), loose anagen hair (3%), trichotillomania (2%), and tinea capitis (1.4%).</p><p><strong>Conclusion: </strong>Knowledge of the main types of alopecia and of their epidemiological and clinical specifics are prerequisite for providing an understanding of the etiologies and appropriate patient care in a respective specialty clinic.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Conundrum of Human Nakedness.","authors":"Anvitha Chidanand, Venkataram Mysore","doi":"10.4103/ijt.ijt_64_23","DOIUrl":"10.4103/ijt.ijt_64_23","url":null,"abstract":"<p><p>Human beings are the only primates without thick body hair. Evolution has played its part in reducing the thickness and density of body hair from our prime ancestors. To understand the causality of this, it is wise to explore three other characteristics which distinguish <i>Homo sapiens</i> from other primates; bipedalism, practical nakedness, and the family reproductive unit. The evolution of hairlessness, combined with the need for efficient eccrine sweat production for cooling, provided evolutionary pressure to protect the skin from ultraviolet damage by developing cutaneous pigmentation. There was a subsequent loss of pigmentation as humans journeyed to northern latitudes. The relationship between nakedness, bipedality, the establishment of family reproductive unit, and the appearance of melanin in the skin all constitute a fascinating challenge to understand. It is indeed intriguing that while nature prefers the <i>Homo sapiens</i> to be relatively naked and hairless, the <i>Homo sapiens</i> is so obsessively fascinated with the preservation of persistence of hair. These issues are indeed very relevant for all physicians who treat hair, such as dermatologists and hair transplant surgeons.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12251983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mauli M Shah, Rutoo V Polra, Dharmesh Parmar, Pragya A Nair
{"title":"Grooming Our Knowledge on \"Broom Hairs\" - Dermoscopy of Trichoteiromania.","authors":"Mauli M Shah, Rutoo V Polra, Dharmesh Parmar, Pragya A Nair","doi":"10.4103/ijt.ijt_58_23","DOIUrl":"10.4103/ijt.ijt_58_23","url":null,"abstract":"","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Toluwalashe Onamusi, Afua Ofori-Darko, Marc Hill, Kaelynn Workman, Danny Barlev
{"title":"Scarring Alopecia Management and Referral Practices in African-American Cosmetologists.","authors":"Toluwalashe Onamusi, Afua Ofori-Darko, Marc Hill, Kaelynn Workman, Danny Barlev","doi":"10.4103/ijt.ijt_102_23","DOIUrl":"10.4103/ijt.ijt_102_23","url":null,"abstract":"<p><strong>Background: </strong>Cosmetologists and hair stylists are often the first and most frequented professionals evaluating patients with alopecia. This makes them a strong ally for dermatologists. Our study aimed to assess the knowledge and practices of African-American cosmetologists regarding hair loss. The study focused on their confidence levels in identifying scarring alopecia conditions in clients, general knowledge of hair loss causes and risk factors, and the frequency of client referrals to dermatologists.</p><p><strong>Methods: </strong>A survey was distributed among African-American cosmetologists, consisting of questions related to their confidence in recognizing scarring alopecia conditions, their knowledge of hair loss causes and risk factors, and their referral practices for clients experiencing hair loss. The survey was distributed electronically, and responses were collected anonymously. Descriptive statistics were used to analyze data.</p><p><strong>Results: </strong>A total of 19 African-American cosmetologists participated in the survey. A majority of cosmetologist had never heard of lichen planopilaris (LPP) and central centrifugal cicatricial alopecia (CCCA) (78.9% and 57.9%, respectively) The majority of cosmetologists reported avoiding or limiting tight braids/locs (100%), tight ponytails/buns (100%), tight hair weaves (89.5%, n=17). 94.7% (n=18) referred clients to a dermatologist for hair loss in the past year.</p><p><strong>Conclusion: </strong>The findings revealed varying levels of confidence among cosmetologists in identifying different types of scarring alopecia conditions. The results highlighted gaps in cosmetologists' knowledge of hair loss risk factors. The results suggest that there is a need for increased education and awareness among African-American cosmetologists regarding hair loss and scarring alopecia. Addressing these knowledge gaps and improving the confidence levels of cosmetologists in recognizing hair loss can have a positive impact on client care and well-being. Collaboration and communication between cosmetologists and dermatologists are crucial in providing comprehensive support for clients experiencing hair loss.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"51-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12251986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is Early-onset Androgenetic Alopecia Associated with Metabolic Syndrome? - A Descriptive Cross-sectional Study.","authors":"Sheena Majella, Vijay Aithal","doi":"10.4103/ijt.ijt_135_23","DOIUrl":"10.4103/ijt.ijt_135_23","url":null,"abstract":"<p><strong>Background: </strong>Androgenetic alopecia (AGA), although considered medically benign, has been found to be associated with increased cardiovascular risk, especially in patients with early onset (≤ 30 years). Metabolic syndrome (MetS) comprises a cluster of cardiovascular risk factors predicting morbidity. Very few studies focused on early development of MetS in younger males and the association with the severity of AGA, necessitating further research.</p><p><strong>Objectives: </strong>To estimate the prevalence of MetS in men with early-onset AGA and to assess if there is a positive correlation between the severity of AGA and the development of MetS and its components.</p><p><strong>Materials and methods: </strong>A cross-sectional study was undertaken in a tertiary care hospital from November 2020 to October 2022, on men in the age group of 18 - 40 years. 100 men with early-onset AGA (≤ 30 years) were included in the study. MetS was diagnosed as per the criteria by the International Diabetes Federation (IDF), and American Heart Association/ National Heart, Lung and Blood Institute (AHA/NHLBI). Chi-square test and student's t-test were used for statistical analysis.</p><p><strong>Results: </strong>Metabolic syndrome was diagnosed in 63 (63%) of the patients. The prevalence of MetS (P = 0.006), elevated waist circumference (P = 0.006), elevated serum triglycerides (P = 0.011), and mean value of serum high-density lipoprotein (P = 0.05) was statistically significant in patients with severe AGA.</p><p><strong>Conclusion: </strong>A high prevalence of metabolic syndrome was found in young males with early-onset AGA. Screening and lifestyle modifications should be enforced earlier to lessen cardiovascular morbidity and mortality in young male patients with AGA.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anterolateral Leg Alopecia: Clinical, Histopathological, and Dermoscopic Features.","authors":"Nabeel Kadhim Al-Hamzawi","doi":"10.4103/ijt.ijt_130_23","DOIUrl":"10.4103/ijt.ijt_130_23","url":null,"abstract":"<p><p>Anterolateral alopecia of the legs or peroneal alopecia is a benign entity presenting with symmetrical, non-scaring well-demarcated patches of hair loss on the anterior and lateral aspects of the legs. It is prevalent in men with a prevalence rate of 35%. The condition has rarely been encountered in literature due to its benign course. This report highlights the significance of dermoscopic examination in diagnosing anterolateral alopecia of the legs. It can be considered an alternative to histopathology in those who refuse a biopsy.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Syndromes Associated with Hair Disorders.","authors":"Mauli M Shah, Shree Dhanani, Pragya A Nair","doi":"10.4103/ijt.ijt_107_23","DOIUrl":"10.4103/ijt.ijt_107_23","url":null,"abstract":"<p><p>Syndromes, defined as clusters of consistent symptoms, are vital in understanding diseases and disorders. The interplay between hair and clinical syndromes is examined in brief here, emphasizing the need for a unified data resource to aid clinicians and postgraduate students. The syndromes are categorized into hypertrichosis, characterized by excessive hair growth, and hypotrichosis, defined by a lack of hair. For hypertrichosis, various syndromes such as Ambras, Cantú, and Rubinstein-Taybi syndrome are elucidated, highlighting their distinct clinical features and genetic underpinnings. Hypotrichosis syndromes include Bjornstad's, Netherton and Rothmund-Thomson syndromes. By categorizing and elucidating the array of hair-related syndromes, this comprehensive review aims to enhance clinical understanding and improve patient care in this domain.</p>","PeriodicalId":14417,"journal":{"name":"International Journal of Trichology","volume":"17 1","pages":"4-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12251974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}