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Delayed telogen replacement in a boy's scalp
M Guarrera1, C Cipriani, A Rebora
1Department of Dermatology, University of Genoa, Italy.
Background:
In case the shedding telogen hair is not replaced in time by a terminal anagen hair, an empty space results.
Objective:
To verify whether the phenomenon is present in prepubertal subjects.
Methods:
From July 1996 to May 1997, an 8-year-old boy was submitted monthly to the phototrichogram technique. Sixty hairs were monitored throughout the study.
Results:
52% of all studied hairs were terminal anagen hairs throughout the study and additionally 22% were in a regular hair cycle. Vellus hairs and empty spaces were observed in 18 and 8% of follicles, respectively. In 2% of hairs, vellus hairs and empty spaces were associated.
Conclusions:
Vellus hairs and empty spaces are present even in children. Without gonadal androgens and expression or induction of 5alpha-reductase in the prepubertal scalp, they are unlikely to herald androgenetic alopecia (AGA) but could reflect a physiological phenomenon of 'true resting' of a small proportion of scalp hair. Androgens may increase the phenomenon which may account in part for AGA development.