{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:04:28Z","timestamp":1787169868306,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Scalp hair loss in children is one of the common complaints encountered in dermatological practice. Accurate diagnosis of hair loss in children is of major significance as it can have severe psychological implications given the cosmetic importance of hair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aims to study the different causes and clinical presentations of scalp hair loss in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This was a hospital-based descriptive study that enrolled a total of 170 children with scalp hair loss. A detailed history, scalp, and hair examination were done. Bedside investigations such as KOH mount, hair shaft microscopy, and hair pull tests were conducted. Scalp biopsy and dermoscopy were done wherever necessary to confirm the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Majority of the children with scalp hair loss were school going and adolescents accounting for 62.4% of cases; 52.4% of patients were male and 47.6% were female. Asymptomatic hair loss was the most common presenting complaint contributing to 71.2% of cases. Patchy pattern of scalp hair loss formed a majority (86.5%) compared to diffuse pattern (13.5%). Around 89.4% of scalp hair loss were of acquired type and remaining 10.6% were of congenital type. Neonatal occipital alopecia (38.9%) was the most common cause of congenital hair loss. However, in the acquired group, 90.1% had nonscarring and 9.9% had scarring alopecia. In the nonscarring group, tinea capitis, alopecia areata, and telogen effluvium accounted for 47.4%, 37.9%, and 8.8% of cases, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Childhood alopecia is different from adult alopecia in terms of causes and the pattern of presentation. There is a scarcity of literature on childhood alopecia from India, hence, this study can serve as a useful guide in understanding the different causes and its presentation in our population. In addition, this study signifies the importance of simple diagnostic tests such as KOH and hair shaft microscopy in the diagnosis of common hair loss conditions in children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijt.ijt_56_19","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T08:01:09Z","timestamp":1637308869000},"page":"17-25","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Hair Loss in Children"],"prefix":"10.4103","volume":"13","author":[{"given":"Varsha M.","family":"Shetty","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha Gowrappala","family":"Shanmukhappa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. V.","family":"Nataraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sacchidanand Sarvajnamurthy","family":"Aradhya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20240903","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/j.1365-4632.2007.03457.x","article-title":"Hair loss in children in South-East Nigeria: Common and uncommon cases","volume":"46","author":"Nnoruka","year":"2007","journal-title":"Int J Dermatol"},{"key":"R2-4-20240903","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.det.2012.08.003","article-title":"Pattern hair loss in men: Diagnosis and medical treatment","volume":"31","author":"Banka","year":"2013","journal-title":"Dermatol Clin"},{"key":"R3-4-20240903","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s00105-013-2554-9","article-title":"Acquired alopecia in childhood","volume":"64","author":"Hamm","year":"2013","journal-title":"Hautarzt"},{"key":"R4-4-20240903","first-page":"84","article-title":"Treatment of hair loss disorders in children","volume":"2","author":"Schroeder","year":"1997","journal-title":"Dermatol Ther"},{"key":"R5-4-20240903","first-page":"225","article-title":"Prevalence of scalp disorders and hair loss in children","volume":"90","author":"Sarifakioglu","year":"2012","journal-title":"Cutis"},{"key":"R6-4-20240903","first-page":"77","article-title":"A multicenter clinicomycological study evaluating the spectrum of adult tinea capitis in Egypt","volume":"22","author":"El-Khalawany","year":"2013","journal-title":"Acta Dermatovenerol Alp Pannonica Adriat"},{"key":"R7-4-20240903","doi-asserted-by":"crossref","first-page":"112","DOI":"10.3389\/fmed.2017.00112","article-title":"A practical approach to the diagnosis and management of hair loss in children and adolescents","volume":"4","author":"Xu","year":"2017","journal-title":"Front Med (Lausanne"},{"key":"R8-4-20240903","doi-asserted-by":"crossref","first-page":"285","DOI":"10.4103\/ijd.IJD_393_17","article-title":"A clinico-epidemiological study of scalp hair loss in children (0-18 Years) in Kota region, South-East Rajasthan","volume":"64","author":"Sharma","year":"2019","journal-title":"Indian J Dermatol"},{"key":"R9-4-20240903","doi-asserted-by":"crossref","first-page":"185","DOI":"10.4103\/0974-7753.130393","article-title":"Hair loss in children: Common and uncommon causes; clinical and epidemiological study in jordan","volume":"5","author":"Al-Refu","year":"2013","journal-title":"Int J Trichology"},{"key":"R10-4-20240903","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1159\/000439466","article-title":"Hair and scalp disorders in a tuscan pediatric dermatological outpatient clinic: A clinical and epidemiological evaluation","volume":"25","author":"Conti","year":"2016","journal-title":"Med Princ Pract"},{"key":"R11-4-20240903","first-page":"264","article-title":"Aetiology of childhood alopecia","volume":"86","author":"Cort\u00e9s","year":"2015","journal-title":"Rev Chil Pediatr"},{"key":"R12-4-20240903","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1111\/j.1439-0507.2006.01350.x","article-title":"Tinea capitis: Ringworm of the scalp","volume":"50","author":"Seebacher","year":"2007","journal-title":"Mycoses"},{"key":"R13-4-20240903","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/j.1439-0507.2009.01819.x","article-title":"Tinea capitis: Still an unsolved problem?","volume":"54","author":"Patel","year":"2011","journal-title":"Mycoses"},{"key":"R14-4-20240903","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1097\/01.inf.0000172909.73601.dc","article-title":"Prevalence of asymptomatic carriers and cases of tinea capitis in five to six-year-old preschool children from Augsburg, Germany: Results from the MIRIAM study","volume":"24","author":"M\u00f6hrenschlager","year":"2005","journal-title":"Pediatr Infect Dis J"},{"key":"R15-4-20240903","doi-asserted-by":"crossref","first-page":"527","DOI":"10.4103\/0378-6323.69078","article-title":"Tinea capitis in the pediatric population: A study from North India","volume":"76","author":"Grover","year":"2010","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R16-4-20240903","first-page":"20","article-title":"Clinical and demographic profile of childhood alopecia areata in Iran","volume":"23","author":"Farajzadeh","year":"2013","journal-title":"J Pak Assoc Dermatol"}],"container-title":["International Journal of Trichology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_56_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:14:18Z","timestamp":1787166858000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_56_19"}},"subtitle":["A Clinicoetiological Study from South India"],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijt.ijt_56_19","relation":{},"ISSN":["0974-7753"],"issn-type":[{"value":"0974-7753","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}