Hair Loss

Description

Approach to hair loss / hair thinning in Paediatrics
leac
Mind Map by leac, updated more than 1 year ago
leac
Created by leac almost 11 years ago
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Resource summary

Hair Loss
  1. History
    1. Localized or generalized?
      1. Itchiness, erythema, dandruff
        1. Hair loss - on pillow, during combing?
          1. Area? Frontal (androgenic) vs occipital (Infant, friction alopecia)
            1. Hair thinning? (Terminal -> Vellus hair)
              1. Hair pulling? (Trichotillomania)
                1. Chronic medical diseases, psycho stressors
                  1. FHx: androgenetic baldness
                    1. SLE: Facial rashes, joint pain, oral ulcers
                      1. Hypothyroidism: Malaise, oedema, constipation, cold intolerance
                      2. Normal hair loss: ~50-100 lost/day on scalp
                        1. DDX
                          1. Autoimmune, endocrine: SLE, hypothyroidism
                            1. Drugs: Chemotherapy, valproiac acid, androgens, steroids
                              1. Infection: Tinea capitis (fungal)
                                1. Autoimmune: Alopecia areata
                                  1. Androgenic alopecia
                                    1. Traction alopecia, Friction alopecia
                                      1. Trichotillomania, stress-induced
                                      2. Ix
                                        1. Autoimmune markers, TFT
                                          1. Woods lamp: Fluorescence with Microsporum species (None if Trichophytons spp)
                                          2. Tx
                                            1. Systemic antifungal: Griseofulvin, Terbinafine, Itraconazole (bulb of hair shaft cannot be effectively tx topically)
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