International Journal of Trichology International Journal of Trichology
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   2015| October-December  | Volume 7 | Issue 4  
    Online since December 11, 2015

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Generalized hypertrichosis induced by topical Minoxidil in an adult woman
Patrícia Rocha Chellini, Rodrigo Pirmez, Paula Raso, Celso T Sodré
October-December 2015, 7(4):182-183
DOI:10.4103/0974-7753.171587  PMID:26903750
Hypertrichosis is a common side effect of topical minoxidil and has been reported to occur mainly close to the areas of application. In this paper, we present a case of a 26-year-old woman who developed generalized hypertrichosis 8 weeks after treatment with 5% topical minoxidil solution for alopecia areata. Generalized hypertrichosis is a rare side effect and has been described mainly in children and adolescents. Even though minoxidil is commonly prescribed for alopecia areata, there is insufficient evidence to support its systematic use and the occurrence of adverse effects should prompt drug interruption. Nonetheless, topical minoxidil has been shown to be a safe medication for adult patients, and we believe that the present case was an isolated one, possibly resulting from the misuse of the drug.
  13,485 66 3
A marine protein-based dietary supplement for subclinical hair thinning/loss: Results of a multisite, double-blind, placebo-controlled clinical trial
Ronald L Rizer, Thomas J Stephens, James H Herndon, Brian R Sperber, James Murphy, Glynis R Ablon
October-December 2015, 7(4):156-166
DOI:10.4103/0974-7753.171573  PMID:26903744
Introduction: Since skin and hair quality are potent vitality signals, and hair growth deficiency can cause significant psychological morbidity. In addition to clearly-defined hair loss disorders, milder forms of hair thinning or hair loss appear to be increasingly common, with a suggestion that sub-optimal diets and stressful lifestyles may be involved. Methods: Here we assess the value of a dietary marine-extract based dietary supplement in premenopausal women with subclinical hair thinning or hair loss conditions. This multi-site, randomized double-blind, placebo-controlled clinical trial was conducted with impact on hair shedding rate and hair fiber diameter (assessed by phototrichogram) as primary end points upon consumption of the oral supplement compared to a placebo. A total of 96 eligible female subjects were enrolled aged 21-55 years of age from Asian, Caucasian, and Hispanic ethnic backgrounds. Results: This study showed that hair shedding was significantly reduced in the first 3-6 months of daily consumption of the oral supplement. Moreover, phototrichogram image analysis revealed a statistically significant increase in the mean vellus-like hair diameter after 6 months of supplement consumption, when compared to the mean vellus-like hair diameters measured at baseline. Discussion: These results support the view that a nutritional supplement approach may be useful for women in this age group to deal with subclinical hair thinning or hair loss conditions, and those components of this marine extract-based oral supplement may be a useful adjunct.
  7,654 146 9
Comparative evaluation of Intralesional Triamcinolone Acetonide Injection, narrow band Ultraviolet B, and their combination in Alopecia Areata
Sandeep Kaur, Bharat Bhushan Mahajan, Raman Mahajan
October-December 2015, 7(4):148-155
DOI:10.4103/0974-7753.171568  PMID:26903743
Context: Alopecia areata (AA), an autoimmune disorder, can affect any hair-bearing area. No treatment so far has produced a consistent response. Narrow band ultraviolet B (NBUVB) has not been studied in its management. Aims: Comparative evaluation of intralesional triamcinolone acetonide injection, NBUVB, and their combination in AA. Materials and Methods: Forty patients (28 males and 12 females) with at least three patches of hair loss were enrolled after obtaining written informed consent. Patches were subdivided as follows: Patch 1 was injected with triamcinolone acetonide 2.5 mg/ml (total of three injections) at 3 weeks interval. Patch 2 - NBUVB was given twice a week for a total of 12 weeks. Patch 3 - combination of injection and NBUVB. Therapeutic response was recorded as regrowth of terminal hair (G0 to G4). Statistical Analysis Used: Chi-square test. P < 5% was considered significant. Results: At the end of treatment and follow-up, that is, at week 12, more than 50% of hair regrowth was evident in 27 (67.5%) patients with intralesional steroid; 7 (17.5%) with NBUVB; and 25 (62.5%) patients with their combination. This difference in the clinical response was statistically significant. Conclusions: Intralesional steroid is more effective than NBUVB and their combination is not synergistic in terms of the clinical response in AA.
  7,597 121 5
Is early onset androgenic alopecia a marker of metabolic syndrome and carotid artery atherosclerosis in young Indian male patients?
Harmeet Singh Banger, Suresh Kumar Malhotra, Sohan Singh, Mridula Mahajan
October-December 2015, 7(4):141-147
DOI:10.4103/0974-7753.171566  PMID:26903742
Background: Androgenic alopecia (AGA) is a common cosmetically and psychosocially distressing condition. High androgen level contributes to the development of atherosclerosis, thrombosis leading to hypertension and hypercholesterolemia. Objectives: To study the clinico-epidemiological profile of AGA and the presence of metabolic syndrome (MetS) and carotid artery atherosclerosis in male patients with early onset AGA as compared to controls. Materials and Methods: In this case-control study, 100 male patients of age 18-35 years with AGA and an equal number of age-matched healthy controls attending skin and STD OPD were included. Assessment of the degree of hair loss, evaluation of MetS and carotid artery color Doppler for the atherosclerotic plaque was done in all patients. Results: Statistically significant number of patients with early onset AGA 22/100 (22%) (P < 0.05) fulfilled the criteria for MetS compared to 8/100 (8%) in the control group. There were statistically significant differences in mean values of waist circumference, serum triglycerides, serum cholesterol, systolic blood pressure, diastolic blood pressure, fasting glucose concentration, and very low-density lipoprotein (LDL). However, no significant differences were observed in the mean values of high-density lipoprotein cholesterol and LDL cholesterol. The atherosclerotic plaque was found in two patients of the study group, and no plaque was found in control patients. Conclusion: We suggest that all men with AGA should be thoroughly investigated, and lifestyle changes should be started in the early period of life so as to reduce the risk of various problems associated with MetS. AGA can be considered as an early marker for MetS.
  5,569 155 7
Multiple trichilemmal cysts of the scalp in a young male
Abhijeet Kumar Jha, Rajesh Sinha, Smita Prasad, Shashikant Kumar
October-December 2015, 7(4):167-169
DOI:10.4103/0974-7753.171576  PMID:26903745
Trichilemmal cyst (TC) is a benign cyst and is lined by stratified squamous epithelium that is derived from the outer root sheath. Middle-aged females are more commonly affected. It has close resemblance to epidermoid cyst and hence should be differentiated. We report a case of painful multiple TC on the scalp in a young male where a skin punch has been used as a therapeutic method.
  5,543 50 -
Perifolliculitis capitis abscedens et suffodiens in a 7 years male: A case report with review of literature
Vandana L Gaopande, Maithili M Kulkarni, Avinash R Joshi, Ashish N Dhande
October-December 2015, 7(4):173-175
DOI:10.4103/0974-7753.171584  PMID:26903747
Perifolliculitis capitis abscedens et suffodiens is the least common of the three conditions included in the follicular occlusion triad. It is one of the causes of scarring alopecia in adult males. Clinically it has to be differentiated from other causes of folliculitis affecting the scalp. The histopathology is diagnostic. The treatment is prolonged and the clinical course is characterized by remissions and relapses.
  4,655 59 3
Sebaceous hyperplasia mimicking linear wart over ear
Pragya A Nair, Nilofar G Diwan
October-December 2015, 7(4):170-172
DOI:10.4103/0974-7753.171581  PMID:26903746
Sebaceous hyperplasia (SH), a common, benign condition of sebaceous gland, presents most commonly over face. Lesions are usually described as asymptomatic, soft, discrete, and yellow with a surface that ranges from smooth to slightly verrucous. The pathogenesis is not fully understood. It does not require treatment, but many time lesions can be cosmetically unfavorable than, need to be destroyed or excised. A case of 23-year-old male presenting with the skin colored to hyperpigmented linear hyperkeratotic plaque mimicking a wart, over the right ear is presented here, which was diagnosed as SH.
  4,405 40 1
Patchy traction alopecia mimicking Areata
Aline Blanco Barbosa, Aline Donati, Neusa S Valente, Ricardo Romiti
October-December 2015, 7(4):184-186
DOI:10.4103/0974-7753.171588  PMID:26903751
Acute traction alopecia is a diagnostic challenge when the external factor is not suspected or admitted. We report two female patients with non-scarring patchy alopecia resulting from traction of video-electroencephalogram electrodes in which the clinical diagnosis of alopecia areata was suspected. Associated diffuse hair disorders might be implicated in these cases. The correct diagnosis of traction alopecia is important in order to avoid unnecessary treatments.
  3,835 39 2
Pilar sheath acanthoma presenting as a nevus
Tumay Ozgur, Metin Temel
October-December 2015, 7(4):187-188
DOI:10.4103/0974-7753.171589  PMID:26903752
  3,702 34 1
Alopecia in systemic amyloidosis: Trichoscopic-pathologic correlation
Mariya Miteva, Erin Wei, Clara Milikowski, Antonella Tosti
October-December 2015, 7(4):176-178
DOI:10.4103/0974-7753.171585  PMID:26903748
Alopecia in systemic amyloidosis is very rare and has been described as individual cases of diffuse nonscarring alopecia and a case of alopecia universalis. We report the trichoscopic findings in alopecia associated with systemic amyloidosis. The most prominent feature was a salmon colored halo (0.3-1 mm in diameter) surrounding the follicular ostia. Other features included broken hairs and black dots. The salmon colored halo correlated on pathology with the perifollicular deposition of amyloid. The horizontal sections showed that the sebaceous glands were preserved which supports the nonscarring pattern of the alopecia.
  3,691 35 4
An unusual location of a pilar sheath acanthoma
Wei Ba, Wenjuan Wang, Chengxin Li
October-December 2015, 7(4):179-181
DOI:10.4103/0974-7753.171586  PMID:26903749
Pilar sheath acanthoma is a rare, benign follicular hamartoma. Mehregan and Brownstein fist reported this solitary, asymptomatic, and skin-colored nodule with a central pore-like opening in 1978. The classic location for these lesions is the upper lip of elderly patients. Here we report an interesting case of a pilar sheath acanthoma presenting on the left eyebrow in a middle-aged female. To our knowledge, this is the first reported case of a pilar sheath acanthoma in such a unique location.
  3,549 35 1