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Commonly Associated Disorders with Complete Scalp Alopecia in Early Childhood: A Review
Michaela Rose Rand1, Katerina Yale1, Brian Satoshi Kato2
1Department of Dermatology, University of California, Irvine, California 92697, USA.
Insights
This review identifies six common genetic conditions causing complete scalp hair loss in children. Early recognition of these genetic alopecia causes can improve diagnosis and prognosis for affected children.
Area of Science:
- Pediatric Dermatology
- Medical Genetics
- Trichology
Background:
- Complete scalp hair loss in children, or alopecia, causes significant distress.
- While infections and trauma are common causes, genetic factors play a crucial role in pediatric alopecia.
- Identifying genetic predispositions is key for accurate diagnosis and management.
Purpose of the Study:
- To identify and review common genetic conditions associated with complete scalp alopecia in infants and children.
- To synthesize current literature on genetic alopecia in pediatric populations.
- To enhance awareness among clinicians regarding genetic causes of pediatric hair loss.
Main Methods:
- Comprehensive literature review of the PubMed Database from 1962 to 2019.
- Inclusion of studies with at least five reported cases of genetic alopecia in humans.
- Focus on clinical trials, retrospective studies, and case reports in English.
Main Results:
- Six genetic conditions were identified as common causes of complete scalp hair loss in children.
- These include alopecia totalis/Alopecia universalis (AU), atrichia with papular lesions, AU congenita, hereditary Vitamin D-resistant rickets type IIA, alopecia with mental retardation, and pure hair and nail ectodermal dysplasia.
- The review highlights the diverse genetic landscape underlying pediatric alopecia.
Conclusions:
- A variety of genetic and environmental factors can cause total scalp hair loss in children.
- Increased clinical awareness of these genetic conditions is vital for timely diagnosis.
- Improved diagnostic capabilities can lead to better prognoses for children with genetic alopecia.
Abstract:
Complete scalp hair loss can be a source of distress for affected children and their families. In addition to infectious and trauma-related causes of hair loss, infants and children may present with total scalp alopecia arising from a range of genetic predispositions. Our objective with this review was to identify the common genetic conditions in children with complete scalp alopecia. The PubMed Database was reviewed for all articles from 1962 to 2019 containing the search terms related to genetic alopecia. The conditions with at least five reported cases in the literature were considered for the inclusion. All clinical trials, retrospective studies, and cases on human subjects and written in English were included. Six genetic conditions related to complete scalp alopecia were included in this review. The most common genetic conditions associated with total scalp hair loss include: alopecia totalis/Alopecia universalis (AU), atrichia with papular lesions, AU congenita, hereditary Vitamin D-resistant rickets type IIA, alopecia with mental retardation, and pure hair and nail ectodermal dysplasia. In children presenting with total scalp hair loss, a myriad of genetic and environmental factors may be the underlying cause. Increased awareness of potential genetic conditions associated with total scalp hair loss may assist in diagnosis, with improved the prognosis for the children.
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