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Hair and Scalp Disorders in Children below 2 Years: An Unremarked Sphere
Balvinder Kaur Brar1, Sukhmani Kaur Brar2, Rajvir Kaur1
1Department of Dermatology, GGS Medical College, Faridkot, Punjab, India.
Insights
Seborrheic dermatitis is the most common hair and scalp disorder in children under two years old. This study highlights the importance of detailed history and examination for diagnosing pediatric hair and scalp conditions.
Area of Science:
- Pediatric Dermatology
- Trichology
Background:
- Hair and scalp disorders in children can cause significant psychological distress.
- Children under 2 years old are frequently affected by these conditions, yet studies focusing exclusively on this age group are limited.
Purpose of the Study:
- To investigate the patterns and causes of hair and scalp disorders in children younger than 2 years.
- To provide insights into the specific spectrum of these conditions in infants and toddlers.
Main Methods:
- An observational and analytical study was conducted.
- Fifty consecutive patients aged 0-24 months with hair and scalp complaints were enrolled.
- Data was collected from the dermatology outpatient department of a North Indian tertiary care hospital.
Main Results:
- Seborrheic dermatitis (SD) was the most prevalent condition, affecting 56% of patients.
- Transient neonatal hair loss occurred in 22% of cases.
- Other identified disorders included traction alopecia (6%), plica neuropathica (PN) (4%), and trichotillomania (2%).
Conclusions:
- Hair and scalp disorder prevalence varies geographically; this study identified PN linked to religious practices.
- Seborrheic dermatitis is a common finding, consistent with other regions.
- Trichotillomania in this age group may stem from anger rather than habit, underscoring the need for thorough clinical evaluation.
Context:
Hairs contribute significantly to our appearance and are mirror to many systemic diseases. Hair and scalp disorders in children are associated with profound psychological effects arising from concerns of chronicity, severity, and contagiousness, in addition to cosmetic outline. Studies have documented children below 2 years as the most common age group affected by hair and scalp disorders in the pediatric population; however, to the best of our knowledge, none has been carried out exclusively on this age group, so far.
Aims:
To determine the pattern of hair and scalp disorders and their underlying etiologies in children below 2 years.
Settings And Design:
Observational and analytical.
Subjects And Methods:
Fifty consecutive patients, aged 0-24 months presenting with complaints of hair and scalp disorder, to the outpatient department of dermatology of a tertiary care hospital in North India, constituted the study population.
Results:
The most common disorder was seborrheic dermatitis (SD) 56%, followed by transient neonatal hair loss 22%. We also came across interesting cases of plica neuropathica (PN) 4%, trichotillomania 2%, and traction alopecia 6%, apart from a list of other disorders noted. The most common age group was 0-6 months.
Conclusions:
Hair and scalp disorders vary greatly with different demographic areas. In this region of the world, we came across cases of PN due to religious practices. SD was the most prevalent disorder as seen elsewhere. Trichotillomania noted in such a young child was not as a mere habit (as popularly believed), rather an act of anger. Hence, with this study, we want to emphasize the role of detailed history and examination, besides outlining the spectrum of disorders in this age group.
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