Hair Disorders

Cicatricial Alopecias: Practical Pearls for Challenging Diagnoses
cicatricial alopecias
by Nishad Sathe, MD on
At ODAC 2023, we had the opportunity to learn about cicatricial alopecias from renowned dermatologist and hair expert Dr. Amy McMichael, Professor of Dermatology at Wake Forest University School of Medicine. First, we considered a framework to check for cicatricial alopecias. This is particularly important because if we can identify cicatricial alopecia, we can make sure we are treating the rig …

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A Case of Late-Onset Alopecia Areata
ALOPECIA AREATA
by NEXT STEPS IN DERM TEAM on
INTRODUCTION Alopecia areata (AA) is a condition characterized by nonscarring hair loss. Cases of alopecia areata are most commonly seen in patients under age 30 and are frequently idiopathic. In this report, we discuss a woman in her 50s who developed AA shortly after receiving the Tdap vaccine and after one year of guselkumab therapy.   CASE A woman in her 50s with history of psor …

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Baricitinib Therapeutic Cheat Sheet
Baricitinib
by Alexis Carrington, MD on
Baricitinib (Olumiant®) is a once daily oral medication recently FDA approved for severe alopecia areata, which is defined as having a Severity of Alopecia Tool (SALT) score of 50 or higher.1 JAK inhibitors are a relatively new class of drug demonstrating efficacy and safety in a range of inflammatory skin disorders. Emerging studies have highlighted baricitinib’s effectiveness for conditions l …

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Trichoscopy Clues for Diagnosing Common Hair Disorders
Trischoscopy
by Nishad Sathe, MD on
Trichoscopy is a handy dermoscopic tool that can be used at the bedside to diagnose multiple hair diseases. However, these hair diseases may be challenging to diagnose by the untrained eye. Fortunately, we had the opportunity to train these skills at ODAC 2023 with hair expert and dermatologist Dr. Amy McMichael, Professor of Dermatology at Wake Forest University. We will review the essentials of …

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Rituximab-Induced Alopecia Universalis in a Patient With Bullous Pemphigoid
by NEXT STEPS IN DERM TEAM on
Alopecia areata is a CD8+ T-lymphocyte driven autoimmune disorder leading to reversible hair loss. While most commonly presenting as isolated well-demarcated non-cicatricial alopecic patches on the scalp, subtypes of alopecia areata include alopecia totalis with loss of all scalp hair and alopecia universalis with complete loss of all body hair. Although primarily an idiopathic condition, several …

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