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Hair and scalp disorders in children below two years of age.

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eMediNexus    21 November 2019

The objective of a new study published in the International Journal of Trichology was to determine the pattern of hair and scalp disorders and their underlying etiologies in children below 2 years. This was an observational and analytical study that recruited 50 consecutive patients, aged 0-24 months, presenting with complaints of hair and scalp disorder to the outpatient department of dermatology of a tertiary care hospital in North India. The results revealed that the most common disorder was seborrheic dermatitis (SD) in 56%, followed by transient neonatal hair loss in 22%. In addition, plica neuropathica (PN) was found in 4%; trichotillomania in 2%; and traction alopecia in 6%, apart from a list of other disorders noted. The most common age group was 0-6 months. In summary, it was stated that hair and scalp disorders vary greatly with different demographic areas. In Northern India, most cases of PN occurred due to religious practices; in other regions, SD was the most prevalent disorder. Trichotillomania noted in young children, did not occur due to mere habit, but an act of anger. Hence, a detailed history and clinical examination are essential for children presenting with hair and scalp disorders apart from outlining the spectrum of disorders in this age group.

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