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

Authors:Antonella Tosti, David Whiting, Matilde Iorizzo, Massimiliano Pazzaglia, Cosimo Misciali, Colombina Vincenzi, Giuseppe Micali
Language:Eng.
Date:23-06-2008
Journal:Journal of the American Academy of Dermatology (1097-6787)
Release:J Am Acad Dermatol. 2008 Jul;59(1):64-7


Abstract:



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.

Copyright:Journal of the American Academy of Dermatology

Department of Dermatology, University of Bologna, Bologna, Italy. antonella.tosti@unibo.it
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Terms:Adult, Alopecia Areata, Biopsy, Dermoscopy, Female, Humans, Male, Scalp
 
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Journal of the American Academy of Dermatology