{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:28:36Z","timestamp":1770272916543,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:00:00Z","timestamp":1712966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alopecia areata is a chronic and relapsing condition that affects individuals of all age groups. Dermoscopy is a popular and non\u2010invasive method for diagnosing alopecia areata. This study aimed to analyze dermoscopic findings and their relationship with age, gender, appearance, and clinical signs in children and adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cross\u2010sectional study was conducted on 124 children and adults diagnosed with alopecia areata who were referred to a Hospital in Iran between 2021 and 2022. After reaching the calculated sample size, trichoscopic findings were examined and the results were recorded. Data analysis was performed by a statistician and presented in relevant tables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The participants in the study comprised 53.2% female children, 46.8% male children, 27.42% adult males, and 72.58% adult females. The median age in the pediatric group was 10\u2009years, while it was 27\u2009years in the adult group. Yellow dots were significantly less observed in children than in adults (29% vs. 48.4%), while exclamation mark hairs were significantly more common in children than adults (38.7% vs. 21%). No significant differences were found in the frequency of other trichoscopic features between children and adults. Specifically, black dots, broken hairs, short vellus hairs, pigtail hairs, and empty follicular openings were observed in 38.7%, 40.3%, 32.3%, 11.3%, and 75.8% of children, respectively, and in 35.5%, 32.3%, 21%, 46.8%, and 12.9% of adults, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The most common trichoscopic findings in alopecia areata in children are empty follicular openings and broken hairs, while exclamation mark hairs are more common in children than adults. In contrast, yellow dots are less frequently observed in children compared to adults. This distinct difference between children's and adults' dermoscopic findings highlights the critical need for age\u2010specific considerations in AA evaluations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.16319","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T10:04:55Z","timestamp":1713002695000},"page":"2736-2742","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trichoscopic findings in children and adults with alopecia areata: A comparative study"],"prefix":"10.1111","volume":"23","author":[{"given":"Zeinab","family":"Aryanian","sequence":"first","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"},{"name":"Department of Dermatology Razi Hospital, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Department of Dermatology Babol University of Medical Sciences  Babol Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morvarid","family":"Najafi","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8586-2432","authenticated-orcid":false,"given":"Mahshid","family":"Ansari","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"},{"name":"Department of Dermatology Razi Hospital, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0571-5940","authenticated-orcid":false,"given":"Maryam","family":"Nassimi","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"},{"name":"Department of Dermatology Razi Hospital, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3026-2485","authenticated-orcid":false,"given":"Ifa","family":"Etesami","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"},{"name":"Department of Dermatology Razi Hospital, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sama","family":"Heidari","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1867-1609","authenticated-orcid":false,"given":"Azadeh","family":"Khayyat","sequence":"additional","affiliation":[{"name":"PGY2 resident physician Pathology Department of Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3531-2907","authenticated-orcid":false,"given":"Parvaneh","family":"Hatami","sequence":"additional","affiliation":[{"name":"Autoimmune Bullous Diseases Research Center Tehran University of Medical Sciences, Tehran, Iran  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.intimp.2021.108186"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.intimp.2021.107971"},{"issue":"5","key":"e_1_2_10_4_1","first-page":"1265","article-title":"Dermoscopy in the evaluation of hair and scalp disorders","volume":"80","author":"Miteva M","year":"2019","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"397","article-title":"Pediatric Trichoscopy","volume":"39","author":"\u00d6z\u00e7elik K","year":"2021","journal-title":"Dermatol Clin"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3315\/jdcr.2008.1021"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1021\/acsomega.3c01241"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijd.ijd_587_22"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pde.13912"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2008.03692.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000369402"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.142853"},{"issue":"3","key":"e_1_2_10_13_1","first-page":"101","article-title":"Trichoscopy in alopecia areata: an update","volume":"12","author":"Jha AK","year":"2020","journal-title":"Int J Trichology"},{"issue":"2","key":"e_1_2_10_14_1","article-title":"Non\u2010invasive evaluation of alopecia: a review of Dermatoscopy, Trichoscopy, and other novel imaging techniques","volume":"12","author":"Sharma VK","year":"2022","journal-title":"Dermatol Pract Concept"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.16319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T11:19:52Z","timestamp":1735298392000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.16319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,13]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/jocd.16319"],"URL":"https:\/\/doi.org\/10.1111\/jocd.16319","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,13]]},"assertion":[{"value":"2023-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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