{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T16:08:47Z","timestamp":1784131727095,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Trichoscopy enhances diagnostic accuracy in primary cicatricial alopecias (PCA), yet comparative data on its application across diverse skin phototypes remain limited.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n The aim of this study was to characterize trichoscopic features across various forms of PCAs and compare findings between fair and dark phototypes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is a descriptive, multicenter international study analyzing trichoscopic patterns in 1102 patients with PCAs across a range of ethnic backgrounds and skin phototypes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The absence of follicular openings was the most consistent trichoscopic finding across all phototypes. Notable variations in trichoscopic patterns were observed based on skin color. In both fair and dark phototypes, signs of clinical and trichoscopic activity were predominantly observed within the first five years of disease duration, when inflammation is typically more pronounced.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Clinicians should be aware of trichoscopic variations both between and within the same PCA according to the phototype. Such awareness enhances the recognition and interpretation of trichoscopic features, particularly during the early and active stages of the disease, and helps guide the selection of optimal biopsy sites across PCA subtypes in both fair and dark skin. This approach can ultimately facilitate histopathological confirmation and support clinical decision\u2010making.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ijd.70440","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:10:42Z","timestamp":1777695042000},"page":"1647-1667","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Trichoscopy of Cicatricial Alopecia in Fair and Dark Skin: A Multicenter International Study of the\n EADV<\/scp>\n Task Force on Hair Diseases and the\n IDS<\/scp>\n Task Force on Trichoscopy"],"prefix":"10.1111","volume":"65","author":[{"given":"Awatef","family":"Kelati","sequence":"first","affiliation":[{"name":"Dermatology Department, University Hospital Cheikh Khalifa, and the University Hospital Mohammed VI. Faculty of Medicine Mohammed VI University of Health and Sciences (UM6SS) Casablanca Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4984-3589","authenticated-orcid":false,"given":"Anna","family":"Wa\u015bkiel\u2010Burnat","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9255-8196","authenticated-orcid":false,"given":"Zoe","family":"Apalla","sequence":"additional","affiliation":[{"name":"2nd Department of Dermatology and Venereology, Medical School Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Ioannides","sequence":"additional","affiliation":[{"name":"1st Department of Dermatology Aristotle University School of Medicine, Hospital of Skin and Venereal Diseases Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Fernandes","family":"Melo","sequence":"additional","affiliation":[{"name":"Dermatology Department Advanced Institute of Trichology Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Rakowska","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8308-1023","authenticated-orcid":false,"given":"Lidia","family":"Rudnicka","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwa","family":"Faik","sequence":"additional","affiliation":[{"name":"Dermatology Department, University Hospital Cheikh Khalifa, and the University Hospital Mohammed VI. Faculty of Medicine Mohammed VI University of Health and Sciences (UM6SS) Casablanca Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariame","family":"Meziane","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Faculty of Medicine and Pharmacy Mohammed V University in Rabat, Ibn Sina University Hospital Rabat Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0058-0645","authenticated-orcid":false,"given":"Asmahane","family":"Souissi","sequence":"additional","affiliation":[{"name":"Department of Dermatology, La Rabta Hospital Faculty of Medicine of Tunis, University of Tunis El Manar Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Asz\u2010Sigall","sequence":"additional","affiliation":[{"name":"Trichology Clinic, Dermatology Department Hospital General \u201cDr. Manuel Gea Gonz\u00e1lez\u201d Mexico City 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