Trichoscopic findings in various Scalp Alopecias

1 Department of Skin and VD, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad , Anand. Gujarat 388325.

Corresponding Author:
Dr.Rita Vora
B-4, Om Villa, Raja Babu Lane, Opp. Big Bazar, Anand. Gujarat, India 388001
Email: ritavv@charutarhealth.org


Background: Many patients of alopecia are encountered in our daily practice with diagnostic dilemma. Dermatoscopy is evolving as an important tool which aids to our clinical diagnosis.
Aims: To explore the utility of dermoscopy and to study the dermatoscopic findings in Cicatricial and Non Cicatricial Alopecias of the scalp.
Method: An Observational study was conducted at rural based tertiary centre in Gujarat, India after getting ethical clearance.
Results: Amongst 194 enrolled,142(73.12%) were males and 52(26.80%) were females. 45.36% were diagnosed to have Alopecia Areata(AA) with the most common finding being exclamation marks found in 75% patients.35.05% were diagnosed to have AA with the most common finding being thin and vellus hairs found in 83.82% patients.6.19% were diagnosed to have Psoriasis with red dots ,globules and silvery scales seen in 100% patients. 5.15% were diagnosed to have Tinea Capitis with corkscrew hairs seen in 100% patients. 3.6% were diagnosed to have Discoid Lupus Erythematosis with scattered dark brown discoloration of skin being the commonest finding, seen in 85.71 patients. 2.58% were diagnosed to have Sebborheic dermatisis with yellow scales seen in 100% patients. 2.06% were diagnosed to have Lichen Plano Pilaris with perifollicular inflammation seen in 100% patients.
Conclusions: Dermoscopy has been shown to enable the visualization of submacroscopic morphologic structures invisible to the naked eye. Trichoscopy is used as a diagnostic aid in differential diagnosis of hair loss and scalp diseases.