{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:31Z","timestamp":1787014351907,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T00:00:00Z","timestamp":1532476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Androgenetic alopecia or female pattern hair loss is the condition that most commonly leads to hair loss in adult females. The trichoscope is used for the early diagnosis of the disease. The study aims at finding a possible association between trichoscopic signs and disease severity in dark\u2010skinned females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was an observational study involving trichoscopic examination of 129 females with different hair disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Clinical and trichoscopic examination revealed 79 patients with androgenetic alopecia. All patients showed hair shaft diameter diversity. The predominance of one hair per follicle was found in 97.4% (77\/79), peripilar brown halo in 32.9% (26\/79), peripilar white halo in 10.1% (8\/79), and honeycomb\u2010like scalp pigmentation in 17.7% (14\/79) of patients, yellow dots in 15.2% (12\/79), white dots in 20.3% (16\/79), and hidden hair in 7.6% (6\/79). Yellow dots and white dots were positively correlated with the advanced Ludwig and Sinclair staging of hair loss. Peripilar sign, honeycomb pigmentation, and white dots were associated significantly with darker skin types. The other 50 patients were diagnosed with the following: normal healthy controls (10\/50), telogen effluvium (25\/50), alopecia areata (4\/50), fibrosing alopecia in pattern distribution (4\/50), folliculitis decalvans (2\/50), discoid lupus erythematosus (1\/50), lichen planopilaris (2\/50), frontal fibrosing alopecia (1\/50), and end\u2010stage cicatricial alopecia (1\/50).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The yellow dot and white dot signs are suggested as new dermoscopic findings in advanced androgenetic alopecia. Peripilar sign, honeycomb pigmentation, and white dots are characteristic signs of female androgenetic alopecia in ethnic groups of darker skin.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijd.14140","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T05:47:06Z","timestamp":1532497626000},"page":"1221-1228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["White and yellow dots as new trichoscopic signs of severe female androgenetic alopecia in dark skin phototypes"],"prefix":"10.1111","volume":"57","author":[{"given":"Soha S.","family":"Tawfik","sequence":"first","affiliation":[{"name":"Dermatology, Venereology and Andrology Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama A.","family":"Sorour","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aly F.","family":"Alariny","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman H.","family":"Elmorsy","sequence":"additional","affiliation":[{"name":"Dermatology, Venereology and Andrology Faculty of Medicine Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoda","family":"Moneib","sequence":"additional","affiliation":[{"name":"Department of Dermatology Venereology and Andrology Ain Shams University Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2001.117426"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.144.8.1007"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.125601"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.58555"},{"key":"e_1_2_6_6_1","first-page":"641","article-title":"Hair diameter diversity: a clinical sign reflecting the follicle miniaturization","volume":"137","author":"Lacharriere O","year":"2001","journal-title":"Arch Dermatol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.130385"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2012.08.011"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0365-05962012000500003"},{"issue":"431","key":"e_1_2_6_10_1","first-page":"e1","article-title":"Evaluation and diagnosis of the hair loss patient: part II. 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