Related Experiment Video
Updated: Jan 3, 2026

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Trichoscopic Findings in Normal Hair and Scalp in Children Under 17 Years
Jeta Y Buch1, Sebastian Criton1
1Department of Dermatology, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Insights
This study establishes normal trichoscopic values for children, providing a standard for diagnosing hair and scalp conditions. These findings offer a crucial reference for identifying abnormalities in pediatric hair health.
Area of Science:
- Dermatology
- Pediatric Trichology
- Medical Imaging
Background:
- Establishing normative data for pediatric hair and scalp parameters is essential for accurate diagnosis.
- Previous studies may lack comprehensive trichoscopic data across diverse pediatric age groups.
- Standardized reference values are needed to differentiate normal findings from pathological conditions.
Purpose of the Study:
- To determine and document normal trichoscopic values in a pediatric population.
- To establish a standardized framework for evaluating hair and scalp health in children.
- To provide a reference for identifying abnormal trichoscopic findings in various age groups.
Main Methods:
- A cohort of 750 healthy children of Malayalam speaking ethnicity was studied.
- Participants were categorized into six age groups, from neonates to 17 years.
- Trichoscopy was performed across multiple scalp regions using a digital dermoscope, analyzing hair shaft, follicular openings, and surrounding areas.
Main Results:
- Specific ranges for terminal:vellus hair ratios were documented for each age group and scalp region.
- Variations in these ratios were observed across different age strata.
- Comprehensive trichoscopic findings for various pediatric age groups were systematically recorded.
Conclusions:
- The study successfully summarized trichoscopic patterns for normal pediatric hair and scalp across different age groups.
- This provides a valuable reference for clinicians to accurately identify abnormal conditions.
- The established norms serve as a foundation for future research and clinical practice in pediatric trichology.
Objective:
The aim of the study is to establish normal values of measurable parameters, set the standard, and provide a framework for future reference.
Materials And Methods:
A total of 750 children of Malayalam speaking ethnicity with no hair or scalp diseases in anamnesis and clinical examination were included in the study. Children were divided into six age groups (neonates, infants, 1-5, 6-10, 11-14, and 15-17 years), and trichoscopy was performed in frontal, left and right temporal, vertex, crown, and occiput using Wi-Fi cordless digital dermoscope. Hair shaft, follicular opening, and perifollicular and interfollicular area were evaluated and analyzed with SPSS software.
Results:
Among the parameters analyzed, we observed that with 0.95 probability (95%), the terminal: vellus ratios are (26,29), (22,25), (22,26), (29,33), (25,29), and (19,24) in neonates; (11,14), (7,11), (9,13), (13,17), (12,16), and (7,12) in infants; (16,17), (10,11), (10,11), (16,18), (15,16), and (14,15) in 1-5 years; (17,18), (11), (11), (19,21), (23), and (16,17) in 6-10 years; (17,18), (9,10), (10), (19,20), (18,19), and (16,17) in 11-14 years; and (14,15), (8-9), (8,9), (15,16), (14, 16), and (13,14) in 15-17 years. Likewise, we have documented the various trichoscopic findings of different age groups.
Conclusion:
We propose the summary of trichoscopic patterns of different age groups with normal hair and scalp to accurately identify the abnormal.
More Related Videos
06:41A New Technique for Quantitative Analysis of Hair Loss in Mice Using Grayscale Analysis
Published on: March 9, 2015
09:37Combining Reflectance Confocal Microscopy with Optical Coherence Tomography for Noninvasive Diagnosis of Skin Cancers via Image Acquisition
Published on: August 18, 2022
Related Concept Videos
Accessory Structures of the Skin: Hair Growth and Types
Accessory Structures of the Skin: Hair and Hair Follicles
Hair is a keratinous filament growing out of the epidermis. It is primarily made of dead, keratinized cells. Hair strands originate at the epidermal penetration called the hair follicle. The hair shaft is the part...
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...