Pictures in…Androgenic alopecia: an entity to think about in
E/10.3389/fpls.2016.
Images in…Androgenic alopecia: an entity to consider in adolescenceMarlene Rodrigues,1 In Antunes,two Sara Magalh s,two Nelson PereiraHospital de Braga, Braga, Portugal 2 Family Physicians, USF Ponte, Guimar s, Portugal correspondence to Dr Marlene Rodrigues, [email protected] Accepted 4 JulyA 15-year-old healthful adolescent girl went to her physician consultation since she was preoccupied with progressive thinning of her hair considering that 11 years old. In the final year, she noticed an aggravation, with an excessive hair loss. She doesn’t have hirsutism, acne, asthenia, menstrual irregularities or weight variations. In her household history, she reported that her mother had `excessive hair loss just after pregnancy’ and her maternal aunt has alopecia of unknown aetiology. At physical examination it was observed diffuse reduction of capillary thickness and density at the frontal scalp area (figure 1) and vertex (figure 2). Uncommon black dots have been present as well as the pull test was unfavorable. The analytical study which includes blood count, iron kinetics, thyroid function and hormonal study had no alterations. The pelvic and adrenal gland’s ultrasound had been normal. At dermatology consultation, scalp biopsy revealed findings compatible with androgenic alopecia. She started therapy with oral contraceptive, oral spironolactone and topical minoxidil resolution, with improvement of alopecia locations. Androgenic alopecia could be the most prevalent type of alopecia in adulthood, but small is recognized about its prevalence, characteristics and organic history in paediatric population.1 In young children and adolescents with genetic predisposition, the initial signs of androgenic alopecia could arise with elevated levels of androgens at puberty, however the presence of androgenic alopecia in youngsters with prepubertal testosterone levels and females withDescriptionFigureAdolescent’s scalp vertex.2-Iodo-1,3,5-trimethoxybenzene web Finding out pointsAndrogenic alopecia might commence in adolescence,and its presentation is varied.1,2,3,4-Tetramethylbenzene manufacturer In females, it is normally manifested by a progressive hair weakening that may well or may not be linked with hyperandrogenism.PMID:23773119 Normally, androgenic alopecia can be a clinical diagnosis, but depending on the history and clinical evaluation, and specifically in the paediatric age, additional diagnostic tests might be necessary. Alopecia may not have direct physical consequences for health but, undoubtedly, it has a vital psychosocial impact, specially in adolescence.typical hormonal profiles, like in the case we reported, suggests that in some situations the `female pattern hair loss’ may not be androgen dependent or that adrenal androgens may have direct action.2contributors MR has substantial contributions towards the conception of the perform, acquisition, evaluation and interpretation of information; participated in writing the article, in revision and final approval on the version. IA has substantial contributions to acquisition data, patient treatment and follow-up; received informed content material from the patient; revision and final approval on the version. SM has substantial contributions to acquisition information, patient treatment and follow-up; revising and final approval from the short article. NP has substantial contributions to the conception with the perform; acquisition and interpretation of data; therapy and follow-up; revising and final approval of the report.to cite: Rodrigues M, Antunes I, Magalh s S, et al. BMJ Case Rep Published On the net 1st: [please involve Day Month Year]. doi:ten.1136/bcr-FigureAdolescent’s scalp front.
