2021, Number 2
<< Back Next >>
Dermatología Cosmética, Médica y Quirúrgica 2021; 19 (2)
Alopecia Totalis in Childhood. Excellent Response with Narrowband UVB Phototherapy and Combined Treatment
Bernabé RC, Espinosa TM, Ledesma TC
Language: Spanish
References: 13
Page: 164-168
PDF size: 223.23 Kb.
ABSTRACT
Alopecia areata (aa) is the most frequent cause of hair loss in
childhood, representing 20% of cases. The pathophysiology focuses
on an autoimmune origin where the hair follicle loses its
“immunological privilege” possibly due to a previous infectious
process. The diagnosis is clinical aided by dermoscopy, especially
to differentiate it from trichotillomania and tinea capitis,
also frequent in this age group. Treatment, when it comes to
the most common clinical form that is self-limiting plaques, is
encouraging with the use of topical corticosteroids; however,
when it is the total form, it is usually long treatment and with
recurrences. We present a 8-year-old boy with total alopecia
areata and who evolved satisfactorily to narrowband UVB phototherapy
in combination with other topical treatments.
REFERENCES
Gargallo Moneva V y Vanaclocha Sebastian F, Alopecia en la infancia, An Pediatr Contin 2014; 12(4):210-5.
Bayart C y Bergfeld, WF, Pediatric alopecia areata: what is known and what is new, The Dermatologist 2019; 25(5).
Sarufaklioglu E, Yilmaz AE, Gorpelioglu C y Orun E, Prevalence of sclap disorders and hair loss in children, Pediatr Dermatol 2012; 90: 225-9.
Sorrell J, Petukhova L, Reingold R, Christiano A y Garzon M, Shedding light on alopecia areata in pediatrics: a retrospective analysis of comorbidities in children in the National Alopecia Areata Registry, Pediatr Dermatol 2017; 34(5):e271-2.
Lencastre A y Tosti A, Role of trichoscopy in children’s scalp and hair disorders, Pediatr Dermatol 2013; 30:674-82.
Peloquin L y Castelo-Soccio L, Alopecia areata: an update on treatment options for children, Paediatr Drugs 2017; 19(5):411-22.
Lenane P, Macarthur C, Parkin PC et al., Clobetasol propionate, 0.05%, vs. hydrocortisone, 1%, for alopecia areata in children: a randomized clinical trial, jama Dermatol 2014; 150(1):47-50.
Wu SZ, Wang S, Ratnaparkhi R y Bergfeld WF, Treatment of pediatric alopecia areata with anthralin: a retrospective study of 37 patients, Pediatr Dermatol 2018; 35(6):817-20.
Salsberg JM y Donovan J, The safety and efficacy of diphencyprone for the treatment of alopecia areata in children, Arch Dermatol 2012; 148(9):1084-5.
Price VH, Willey A y Chen BK, Topical tacrolimus in alopecia areata, J Am Acad Dermatol 2005; 52(1):138-9.
Georgala S, Befon A, Maniatopoulou E y Georgala C, Topical use of minoxidil in children and systemic side effects, Dermatology 2007; 214(1):101-2.
Carrascosa JM, Gardeazábal J, Pérez-Ferriols A, Alomar A, Manrique P y Jones-Caballero M, Documento de consenso sobre fototerapia: terapias puva y uvb de banda estrecha, Actas Dermo-Sifilográficas 2005; 96(10):635-58.
Diffey BL, Factors affecting the choice of a ceiling on the number of exposures with tl01 ultraviolet b phototherapy, Br J Dermatol 2003; 149:419-46.