{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:08:38Z","timestamp":1772993318612,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Learning Points<\/jats:title>\n                  <jats:p>\n                    <jats:list>\n                      <jats:list-item>\n                        <jats:p>Bite\u2010centred anatomy (tiny eschar or atrophic papule with a narrow, active rim) is the most practical discriminator of tick\u2010bite alopecia in children.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Trichoscopic signs overlap with alopecia areata; they must be interpreted anatomically\u2014rim\u2010restricted AA\u2010like signs around a bite centre favour tick\u2010bite alopecia.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Ipsilateral tender cervical lymphadenopathy with a scalp eschar suggests SENLAT and warrants empiric doxycycline; its absence supports conservative dermatologic management.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>A short course of high\u2010potency topical corticosteroid is usually sufficient; biopsy is reserved for atypical, non\u2010resolving or scarring\u2010prone plaques.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Continued follow\u2010up is recommended to detect rare progression to an AA\u2010like effluvium and to escalate care accordingly.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1111\/jpc.70282","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T04:01:21Z","timestamp":1767240081000},"page":"310-313","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tick\u2010Bite Alopecia of the Scalp in a Child: Case Report and Differential Diagnosis With Alopecia Areata and\n                    <scp>SENLAT<\/scp>"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5114-865X","authenticated-orcid":false,"given":"Diego","family":"Abbenante","sequence":"first","affiliation":[{"name":"Dermatology Unit, Santa Maria delle Croci Hospital AUSL della Romagna  Ravenna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9700-5542","authenticated-orcid":false,"given":"Davide","family":"Bertolla","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Section of Dermatology and Infectious Diseases University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1832-9237","authenticated-orcid":false,"given":"Miriam Anna","family":"Carpanese","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Santa Maria delle Croci Hospital AUSL della Romagna  Ravenna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9163-9691","authenticated-orcid":false,"given":"Alessandro","family":"Borghi","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Section of Dermatology and Infectious Diseases University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5773-4362","authenticated-orcid":false,"given":"Michela","family":"Tabanelli","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Santa Maria delle Croci Hospital AUSL della Romagna  Ravenna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3981-1527","authenticated-orcid":false,"given":"Michela","family":"Starace","sequence":"additional","affiliation":[{"name":"Dermatology Unit IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna  Bologna Italy"},{"name":"Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000538402"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000000598"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0b013e3181676b60"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/srt.13378"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8019.2011.01414.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/650172"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-021-05807-3"},{"issue":"3","key":"e_1_2_8_9_1","first-page":"S21","article-title":"Tick Bite Alopecia in an Adult Female Patient","volume":"17","author":"Schaefer N.","year":"2024","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_8_10_1","first-page":"88","article-title":"What's Eating You? 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