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2. Trichodynia and telogen effluvium in COVID-19 patients: Results of an international expert opinion survey on diagnosis and management

Author

Starace, Michela, Iorizzo, Matilde, Sechi, Andrea, Alessandrini, Aurora Maria, Carpanese, Miriam, Bruni, Francesca, Vara, Giulio, Apalla, Zoe, Asz-Sigall, Daniel, Barruscotti, Stefania, Camacho, Francisco, Doche, Isabella, Estrada, Bruna Duque, Dhurat, Rachita, Gavazzoni, Maria Fernanda, Grimalt, Ramon, Harries, Matthew, Ioannidis, Dimitrios, McMichael, Amy, Melo, Daniel Fernandes, Oliveira, Rui, Ovcharenko, Yuliya, Pirmez, Rodrigo, Ramot, Yuval, Rudnicka, Lidia, Shapiro, Jerry, Silyuk, Tatiana, Sinclair, Rodney, Tosti, Antonella, Vano-Galvan, Sergio, and Piraccini, Bianca Maria

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Rare Diseases, Neurosciences, COVID-19, OR, odds ratios, SARS-CoV-2, TE, telogen effluvium, TR, trichodynia, hair loss, hair shedding, multicentric study, scalp allodynia, telogen effluvium, trichodynia
Abstract

BackgroundThe cutaneous manifestations of COVID-19 may be useful disease markers and prognostic indicators. Recently, postinfectious telogen effluvium and trichodynia have also been reported.ObjectiveTo evaluate the presence of trichodynia and telogen effluvium in patients with COVID-19 and describe their characteristics in relation to the other signs and symptoms of the disease.MethodsPatients with a history of COVID-19 presenting to the clinics of a group of hair experts because of telogen effluvium and/or scalp symptoms were questioned about their hair signs and symptoms in relation to the severity of COVID-19 and associated symptoms.ResultsData from 128 patients were collected. Telogen effluvium was observed in 66.3% of the patients and trichodynia in 58.4%. Trichodynia was associated with telogen effluvium in 42.4% of the cases and anosmia and ageusia in 66.1% and 44.1% of the cases, respectively. In majority (62.5%) of the patients, the hair signs and symptoms started within the first month after COVID-19 diagnosis, and in 47.8% of the patients, these started after 12 weeks or more.LimitationsThe recruitment of patients in specialized hair clinics, lack of a control group, and lack of recording of patient comorbidities.ConclusionThe severity of postviral telogen effluvium observed in patients with a history of COVID-19 infection may be influenced by COVID-19 severity. We identified early-onset (12 weeks) telogen effluvium.

Published
2021

3. Trichodynia and telogen effluvium in COVID-19 patients: Results of an international expert opinion survey on diagnosis and management

Author

Starace, Michela, primary, Iorizzo, Matilde, additional, Sechi, Andrea, additional, Alessandrini, Aurora Maria, additional, Carpanese, Miriam, additional, Bruni, Francesca, additional, Vara, Giulio, additional, Apalla, Zoe, additional, Asz-Sigall, Daniel, additional, Barruscotti, Stefania, additional, Camacho, Francisco, additional, Doche, Isabella, additional, Estrada, Bruna Duque, additional, Dhurat, Rachita, additional, Gavazzoni, Maria Fernanda, additional, Grimalt, Ramon, additional, Harries, Matthew, additional, Ioannidis, Dimitrios, additional, McMichael, Amy, additional, Melo, Daniel Fernandes, additional, Oliveira, Rui, additional, Ovcharenko, Yuliya, additional, Pirmez, Rodrigo, additional, Ramot, Yuval, additional, Rudnicka, Lidia, additional, Shapiro, Jerry, additional, Silyuk, Tatiana, additional, Sinclair, Rodney, additional, Tosti, Antonella, additional, Vano-Galvan, Sergio, additional, and Piraccini, Bianca Maria, additional

Published
2021
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8. Alopecia secondary to anti-tumor necrosis factor-alpha therapy

Author

Ribeiro, Lara Beatriz Prata, Rego, Juliana Carlos Gonçalves, Estrada, Bruna Duque, Bastos, Paula Raso, Piñeiro Maceira, Juan Manuel, and Sodré, Celso Tavares

Subjects
integumentary system, Alopecia areata, Psoriasis, Tumor necrosis factor-alpha, Alopecia, Dermoscopy, skin and connective tissue diseases
Abstract

Biologic drugs represent a substantial progress in the treatment of chronic inflammatory immunologic diseases. However, its crescent use has revealed seldom reported or unknown adverse reactions, mainly associated with anti-tumor necrosis factor (anti-TNF). Psoriasiform cutaneous reactions and few cases of alopecia can occur in some patients while taking these drugs. Two cases of alopecia were reported after anti-TNF therapy. Both also developed psoriasiform lesions on the body. This is the second report about a new entity described as 'anti-TNF therapy-related alopecia', which combines clinical and histopathological features of both alopecia areata and psoriatic alopecia. The recognition of these effects by specialists is essential for the proper management and guidance of these patients.

Published
2015

9. Padrão dermatoscópico das alopecias cicatriciais causadas por lúpus eritematoso discoide e líquen plano pilar

Author

Estrada, Bruna Duque, Tamler, Carla, Sodré, Celso Tavares, Barcaui, Carlos Baptista, and Pereira, Francisco Burnier Carlos

Subjects
Lupus Erythematosus, Discoid, Lupus Eritematoso Discóide, Dermatoscopy, Lichen Planus, Alopecia, Dermatoscopia, Líquen Plano
Abstract

FUNDAMENTOS: A dermatoscopia é método importante de diagnóstico de doenças melanocíticas benignas e malignas. Recentemente, o uso desse método tem demonstrado grande ajuda também no diagnóstico e acompanhamento das alopecias. OBJETIVO: Descrever e demonstrar os achados dermatoscópicos de pacientes com quadros clínicos e histopatológicos de alopecia cicatricial. MÉTODOS: Estudo transversal descritivo em que foram selecionados, pelos achados clínicos e histopatológicos do couro cabeludo, 14 pacientes com alopecia cicatricial, sendo quatro casos de líquen plano pilar clássico, cinco casos de alopecia fibrosante frontal e cinco com lúpus eritematoso discoide. Os pacientes foram avaliados com videodermatoscópio e dermatoscópio manual por três examinadores diferentes, de forma independente. Os aumentos variaram de 10 a 70 vezes. RESULTADOS: Foram achados predominantes no lúpus eritematoso discoide placas brancas, capilares arboriformes, tampões ceratósicos e áreas com diminuição dos óstios foliculares; no líquen plano pilar clássico, escamas perifoliculares, pontos brancos e diminuição de óstios foliculares; na alopecia fibrosante frontal, diminuição de óstios foliculares, escama e eritema perifolicular, além de capilares arboriformes. As estruturas azul-acinzentadas, demonstradas neste estudo, não foram descritas na literatura. CONCLUSÕES: O uso da dermatoscopia na avaliação clínica das alopecias ajudou a estabelecer elementos semióticos, melhorou a capacidade de diagnóstico em relação à simples inspeção e revelou novas características das alopecias cicatriciais. BACKGROUND: Dermoscopy is an important tool for the diagnosis of benign and malignant melanocytic diseases. Recently, this method has also been found to be extremely useful in the diagnosis and follow-up of alopecias. OBJECTIVE: The objective of this study was to describe dermoscopic findings in patients with clinical and histopathological characteristics of cicatricial alopecia. METHODS: A descriptive cross-sectional study was conducted in which 14 patients with cicatricial alopecia were selected based on clinical and histopathological evaluation of the scalp. The underlying cause was classic lichen planopilaris in four cases, frontal fibrosing alopecia in five and discoid lupus erythematosus in the remaining five. The patients were evaluated using videodermoscopy and conventional dermoscopy (with a handheld dermoscope), performed independently by three different examiners. Magnification ranged from 10x to 70x. RESULTS: Principal findings in cases of discoid lupus erythematosus were: white patches, branching capillaries, keratin plugs and areas of reduced follicular ostia; in classic lichen planopilaris: perifollicular scales, white dots and reduced follicular ostia; and in frontal fibrosing alopecia: reduced follicular ostia, perifollicular scales, perifollicular erythema and branching capillaries. The blue-grey dots described in this paper were a novel feature in scalp dermoscopy. CONCLUSIONS: The use of dermoscopy for the clinical evaluation of the scalp in cases of cicatricial alopecia improves diagnostic capacity beyond simple clinical inspection and reveals novel features of the disease.

Published
2010

11. Dermatologia comparativa: psoríase hiperceratósica

Author

Estrada, Bruna Duque, Azevedo, Patrícia Mesquita Couto de, Tamler, Carla, and Aveleira, João Carlos Regazzi

Subjects
Mollusca, Psoriasis, Moluscos, Keratosis, Ceratose, Psoríase
Abstract

A psoríase possui diversas formas de apresentações clínicas. Lesões hiperceratósicas podem ser observadas e verificam-se na literatura diversas denominações para essas lesões, como elefanthine, rupióide, ostrácea e pseudocórnea. É interessante notar que duas dessas denominações se remetem à semelhança com conchas encontradas nos estudos de conquiliologia: rupióide e ostrácea. Os autores comparam os aspectos morfológicos das variantes da psoríase hiperceratósica com as conchas de diversas espécies de moluscos. Psoriasis is a skin disorder with several clinical expressions. Hyperkeratotic lesions may be observed, and have been named rupioid, elephantine, ostraceous and pseudohorny in the literature. It is worth noting that two of such denominations refer to the similarity they bear with shells found by the study of conchology, namely rupioid and ostraceous. The authors compare the morphological aspects of hyperkeratotic psoriasis variants with the shells of different mollusk species.

Published
2007

13. Supervisão da Revisão Científica

Author

Vitello Kalil, Célia Luiza Petersen, Gadelha, Alcidarta dos Reis, de Avelar Alchorne, Alice de Oliveira, Costa Beber, André Avelino, de Carvalho, André Vicente Esteves, Martins Guedes, Antônio Carlos, D’Acri, Antônio Macedo, de Brito, Arival Cardoso, Duarte, Artur Antônio, Kadunc, Bogdana Victória, Tamler, Carla, Assed Saad, Caroline Fattori, Petri, Daniela, Azulay, David Rubem, Calil, Dilhermando Augusto, Pimentel, Eugenio Raul de Almeida, Reginatto, Flávia Pereira, Costa, Francine Batista, Filho, Fred Bernardes, Gontijo, Gabriel Teixeira, Alves, Gilvan Ferreira, de Almeida Júnior, Hiram Laranjeira, Ponzio, Humberto Antônio, de Castro, Inês Alencar, Rosa, Ival Peres, Santamaria, Jesus Rodriguez, Sanches Júnior, José Antônio, Blanco, José Ramon Varela, Santos, Josemir Belo dos, Jordão, Juliana Merheb, Empinotti, Júlio Cesar, Metsavaht, Leandra d’Orsi, Nascimento, Leninha Valério do, de Oliveira, Luciana Silveira Rabello, Bakos, Lucio, Pitassi, Luiza, Oliveira, Marco Túlio Cavalcante, Machado, Maria Cecília da Mata Rivitti, Viegas, Maria de Lourdes, Gavazzoni, Maria Fernanda Reis, Azulay, Mônica Manela, Nasser, Nilton, Granja, Paula Dadalti, Martins Souza, Paulo R., Cunha, Paulo Rowilson, Steglich, Raquel Bissacotti, Bonamigo, Renan Rangel, Bakos, Renato Marchiori, Romiti, Ricardo, Vasconcelos, Roberta, Filho, Roberto Moreira Amorim, Florião, Ryssia Alvarez, Bezerra, Sarita Maria F. Martins C., Schalka, Sérgio, Serafini, Sergio Zuneda, Zimbres, Silvia de Almeida, Cignachi, Stela, Campos, Valéria, De Almeida Rego, Vitória Regina Pedreira, Neumaier, Walter, Corrêa, Adriana de Carvalho, do Nascimento, Adriana Paulino, Fernandes Filho, Alcir Costa, Aldighieri Soares, Alexandre Vianna, de Jesus Bilemjian, Aline Perdiz, Perrotti-Garcia, Ana Julia, Bento Alves, Andreia Oliveira, Leão Martins, Bárbara de Alencar, da Fontoura, Bianca Tarrisse, Estrada, Bruna Duque, dos Santos, Caroline Fernandes, Mendes, Cecília Cerqueira Café, Kobata, Clarice Marie, Longo, Cristiana Ludwig Schneider, Salaro, Cristina Paula, Treu, Curt Mafra, Rodrigues, Denise Costa, de Magalhães Pessoa, Dominique Fausto de Souza, Futuro, Douglas, Palmeiro, Edda M., Victoria, Edianez, Demarch, Eduardo Bornhausen, de Aguiar, Ericka Andrade, Freitas Aguirre, Fernanda Paulla, Mundim, Fernando Diniz, Bortolini Bolzani, Flávia Clarissa, Bottura, Igor Azevedo, Succi, Isabella Brasil, dos Santos, Jeanine Salles, de Figueiredo, José Eduardo Ferreira, Bensabat Junger, Juliana Miglio, Neves, Juliane Rocio, Simone, Karine, de Moura, Larissa Hanauer, De Biase Martins, Letícia Spinelli, Rocha, Luana Boeira, Sieiro Guimarães, Manuela Boleira, Villela Benez, Marcela Duarte, Ave, Marcelo Neira, Narciso, Marcelo Sampaio, Almeida Issa, Maria Claudia, Sasse, Mariana Martins, Nascimento, Patrícia de Souza, Kurizky, Patricia Shu, Cosenza, Paula Periquito, de Oliveira, Renata Scavone, Nakamura, Robertha Carvalho, Guerra, Samantha Gontijo, Hélène, Selma M.F., Garcia, Sergio Jesus, Borges, Sylvia de Araujo, and Robaina, Tatiana Ferreira

Published
2015
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15. Colaboradores

Author

Caldas, Ademilson Teixeira, Filho, Aguinaldo Bonalumi, Gon, Airton dos Santos, Gripp, Alexandre Carlos, Buçard, Alice Mota, de Jesus Bilemjian, Aline Perdiz, de Souza, Aline Soares, Peixoto, Amanda Braga, Hertz, Amanda, Leite, Ana Carolina Barbosa, de Souza Machado Igreja, Ana Carolina, de Amaral, Ana Carolina Nascimento, Kohn, Ana Claudia Przytyk, da Cunha, Ana Flavia Lemos, Kaminsky, Ana, Vargas, Ana Luisa Bittencourt Sampaio Jeunon, de Alencar Araripe, Ana Luiza Cotta, de Cerqueira, Ana Maria Mósca, de Sá Earp, Ana Paula, Adriano, André Ricardo, de Carvalho Petrosemolo, Andréa, Muñoz, Andrés Mauricio López, Gasparini, Ângela Beatriz Schwengber, Novellino, Anna Beatriz Celano, do Valle, Antonio Carlos Francesconi, D’Acri, Antonio Macedo, Brotas, Arles Martins, de Freitas Noguera, Armando, Simões, Belinda P., Trope, Beatriz Moritz, Kac, Bernard Kawa, Gaia, Bernardo, Estrada, Bruna Duque, Lessa, Bruna Mara Ferreira, Bravo, Bruna Souza Félix, de Lima, Brunno Zeni, de Castro, Caio César Silva, Tamler, Carla, Barcaui, Carlos Baptista, Quiroz, Carlos Daniel, Escribens, Carlos Echevarria, de Castro, Carlos Gustavo Carneiro, Antonio, Carlos Roberto, Reis, Carmelia Matos, Dib, Cássio, Maruta, Celina Wakisaka, Sodré, Celso Tavares, de Oliveria Martins, Clarice, Zaitz, Clarisse, do Amaral, Cláudia Soïdo Falcão, Lerer, Claudio, Obadia, Daniel Lago, Spinato, Daniella Rabelo, Azulay, David Rubem, Soares, Deborah Brazuna, Hexsel, Doris Maria, Monteiro, Dulce Vieira Ferreira, Bornhausen-Demarch, Eduardo, Daxbacher, Egon Luiz Rodrigues, de Oliveira, Elisa Fontenelle, Dobao, Elisabete, Monteiro, Ellen Panisset, de França, Emmanuel Rodrigues, Barreto, Enio Ribeiro Maynard, Rivitti, Evandro A., de Carvalho Leal, Fabiano Roberto Pereira, Francesconi, Fábio, Pieroni, Fabiano, de Oliveira, Felipe Ladeira, Tassara, Fernanda Garcia, Bottura, Fernanda Paulla Freitas Aguirre, Bolzani, Flávia Clarissa Bortonili, de Freire Cássia Lisboa, Flávia, Franco, Flávia Varella, Luz, Flávio Barbosa, Pereira, Francisco Burnier Carlos, Filho, Fred Bernardes, Lowy, Gabriela, Barros, George M.N., Penna, Gerson Oliveira, Alves, Gilvan Ferreira, Fernando, Gisele Baião, do Valle, Gláucia Francesconi, Rangel, Giuliana Bottino, Perazolo, Gustavo Henrique Faria, Verardino, Gustavo, de Vries, Henry JC, Eljaiek, Hernando Daniel Vega, Alves, Hugo Guimarães Scotelaro, Ponzio, Humberto Antônio, Duarte, Ida Alzira Gomes, Obadia, Ignacio, Cursi, Igor Brum, Succi, Isabel Cristina Brasil, Succi, Isabella Brasil, Pitanguy, Ivo, Levites, Jacob, El-Mann, Jayne Serruya, Avelleira, João Carlos Regazzi, Vaz, João Luiz Pereira, Cruz, João Manoel Nascimento, Antônio, João Roberto, de Mesquita Filho, Joaquim J.T., de Souza Sittart, José Alexandre, da Cunha, José Antonio Jabur, Sanches, José Antônio, da Costa Nery, José Augusto, de Figueiredo, José Walter Vieira, Maceira, Juan Piñeiro, Ocampo, Julia, Rego, Juliana Carlos Gonçalves, Mainczyk, Juliana Elmor, Voltarelli, Júlio C., Boneti, Karin Krause, Graff, Karina Lima, Lobato, Larissa Araújo, de Moura, Larissa Hanauer, Alves, Larissa Mitraud, do Nascimento, Leninha Valério, Quintella, Leonardo, Abraham, Leonardo Spagnol, Spinelli, Letícia, de Castro, Lia Cândida Miranda, Ruiz, Ligia Rangel Barboza, Fabricio, Lincoln, Towersey, Loan, Minelli, Lorivaldo, de Aguiar, Luana Souza, de Arruda, Lúcia Helena Fávaro, Diniz, Lucia Martins, do Espírito Santo Saraiva, Luciana, Diaz, Luis A., Junior, Luiz Guilherme Darrigo, Azulay-Abulafia, Luna, Rego, Lygia Maria Costa Soares, de Oliveira Neto, Manoel Paes, Miller, Marcela Duarte Benez, Avè, Marcelo Neira, da Silva, Márcia Cristina Linhares, Serra, Márcio Soares, Miranda, Marcos José Sumrell, Sousa, Maria Auxiliadora Jeunon, Issa, Maria Claudia, Lenzi, Maria Elisa R., de Fátima Guimarães Scotelaro Alves, Maria, de Fátima Santos Paim de Oliveira, Maria, Dias, Maria Fernanda Reis Gavazzoni, Sandoval, Maria Helena Lesqueves, Caiuby, Maria Julieta, de Oliveira, Maria Leide Wand-Del-Rey, Alonso, Maria Luiza Oliva, Tinoco, Maria Paula, Santos, Maria Victória Pinto Quaresma, Stefani, Mariane, Geller, Mário, Geller, Mauro, Pockstaller, Mercedes Prates, Cukier, Michel, Pimentel, Milena, Nahon, Milton, Azulay, Mônica Manela, do Rosario de Souza, Monique Carolina Meira, da Silva, Nanashara Diane Valgas, Uribe, Natalia Caballero, Gaspar, Neide Kalil, Aguilar, Nelson, Jiménez, Orietta Mata, Pessoa, Osvania Maris Nogueira, Passos, Paola Cristina Vieira da Rosa, de Azevedo Oliveira, Patrícia Mesquita Couto, Barbosa, Patricia Ormiga Galvão, Kurizky, Patricia Shu, Araújo, Paulo Luzio Marques, Criado, Paulo Ricardo, Souza, Paulo Ricardo Martins, Nogueira, Paulo Sérgio Emerich, Kaufmann, Priscilla Spilberg, Steglich, Raquel Bissacotti, Fernández, Raúl Charlín, Schechtman, Regina Casz, Neves, René Garrido, Criado, Roberta Fachini Jardim, Vasconcelos, Roberta, Silva, Nakamura, Robertha Carvalho, Maués, Roberto, Levy, Roger Abramino, Fonseca, Rosa Maria Rabello, Azulay, Rubem David, Kahler, Sabrina, Kouzak, Samara Silva, de Oliveira, Sarah Toyomi, Sampaio, Sebastião A.P., Serpa, Sergio Schrader, de Mello, Silvia, de Abreu Neves Salles, Simone, Silva, Solange Cardoso Maciel Costa, Carneiro, Sueli, de Oliveira Dal’Forno Dini, Taciana, Fracaroli, Tainá Scalfoni, de Freitas, Thaís Helena Proença, Rego, Thiago Carlos Gonçalves, de Souza Vargas, Thiago Jeunon, Aoki, Valéria, de Souza Framil, Valéria Maria, Francesconi, Valeska Albuquerque, da Silva Lopes, Vanessa, Haddad, Vidal, Junior, Azulay, Vitor, de Souza, Vivian Fichman Monteiro, and da Cunha, Vívian Flores

Published
2013
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16. Trichodynia and telogen effluvium in COVID-19 patients: results of an international expert opinion survey on diagnosis and management

Author

Lidia Rudnicka, Yuliya Ovcharenko, Daniel Fernandes Melo, Miriam Anna Carpanese, Andrea Sechi, Francisco Camacho, Amy J. McMichael, Giulio Vara, Tatiana Silyuk, Bruna Duque Estrada, Rui Oliveira, Jerry Shapiro, Isabella Doche, Bianca Maria Piraccini, Antonella Tosti, Michela Starace, Dimitrios Ioannidis, Matthew Harries, Zoe Apalla, Matilde Iorizzo, Rodney Sinclair, Ramon Grimalt, Maria Fernanda Gavazzoni, Daniel Asz-Sigall, Aurora Alessandrini, Rodrigo Pirmez, Stefania Barruscotti, Yuval Ramot, Francesca Bruni, Rachita Dhurat, Sergio Vano-Galvan, Starace, Michela, Iorizzo, Matilde, Sechi, Andrea, Alessandrini, Aurora Maria, Carpanese, Miriam, Bruni, Francesca, Vara, Giulio, Apalla, Zoe, Asz-Sigall, Daniel, Barruscotti, Stefania, Camacho, Francisco, Doche, Isabella, Estrada, Bruna Duque, Dhurat, Rachita, Gavazzoni, Maria Fernanda, Grimalt, Ramon, Harries, Matthew, Ioannidis, Dimitrio, McMichael, Amy, Melo, Daniel Fernande, Oliveira, Rui, Ovcharenko, Yuliya, Pirmez, Rodrigo, Ramot, Yuval, Rudnicka, Lidia, Shapiro, Jerry, Silyuk, Tatiana, Sinclair, Rodney, Tosti, Antonella, Vano-Galvan, Sergio, and Piraccini, Bianca Maria

Subjects
TR, hair lo, hair loss, Disease, COVID-19 (Malaltia), Trichodynia, Hair shedding, Medicine, telogen effluvium, Perdida de cabello, Tricodinia, integumentary system, scalp allodynia, TE, telogen effluvium, OR, Efluvi telogen, Vessament de cabell, medicine.anatomical_structure, Pèrdua de cabells, medicine.symptom, TE, medicine.medical_specialty, Caída del cabello, 616.9, multicentric study, Tricodínia, Anosmia, Article, Telogen effluvium, Rare Diseases, Alodinia del cuero cabelludo, Scalp allodynia, odds ratios, hair shedding, Caiguda de cabell, Alodinia cuir cabellut, SARS-CoV-2, business.industry, Neurosciences, COVID-19, Hair loss, Odds ratio, Ageusia, medicine.disease, TR, trichodynia, Dermatology, OR, odds ratio, trichodynia, Scalp, Efluvio telógeno, business
Abstract

Background: The cutaneous manifestations of COVID-19 may be useful disease markers and prognostic indicators. Recently, postinfectious telogen effluvium and trichodynia have also been reported. Objective: To evaluate the presence of trichodynia and telogen effluvium in patients with COVID-19 and describe their characteristics in relation to the other signs and symptoms of the disease. Methods: Patients with a history of COVID-19 presenting to the clinics of a group of hair experts because of telogen effluvium and/or scalp symptoms were questioned about their hair signs and symptoms in relation to the severity of COVID-19 and associated symptoms. Results: Data from 128 patients were collected. Telogen effluvium was observed in 66.3% of the patients and trichodynia in 58.4%. Trichodynia was associated with telogen effluvium in 42.4% of the cases and anosmia and ageusia in 66.1% and 44.1% of the cases, respectively. In majority (62.5%) of the patients, the hair signs and symptoms started within the first month after COVID-19 diagnosis, and in 47.8% of the patients, these started after 12 weeks or more. Limitations: The recruitment of patients in specialized hair clinics, lack of a control group, and lack of recording of patient comorbidities. Conclusion: The severity of postviral telogen effluvium observed in patients with a history of COVID-19 infection may be influenced by COVID-19 severity. We identified early-onset (12 weeks) telogen effluvium. info:eu-repo/semantics/publishedVersion

Published
2021

17. Dermoscopy patterns of cicatricial alopecia resulting from discoid lupus erythematosus and lichen planopilaris.

Author

Duque-Estrada B, Tamler C, Sodré CT, Barcaui CB, and Pereira FB

Subjects
Alopecia etiology, Cicatrix complications, Cross-Sectional Studies, Female, Humans, Middle Aged, Alopecia pathology, Cicatrix pathology, Dermoscopy
Abstract

Background: Dermoscopy is an important tool for the diagnosis of benign and malignant melanocytic diseases. Recently, this method has also been found to be extremely useful in the diagnosis and follow-up of alopecias., Objective: The objective of this study was to describe dermoscopic findings in patients with clinical and histopathological characteristics of cicatricial alopecia., Methods: A descriptive cross-sectional study was conducted in which 14 patients with cicatricial alopecia were selected based on clinical and histopathological evaluation of the scalp. The underlying cause was classic lichen planopilaris in four cases, frontal fibrosing alopecia in five and discoid lupus erythematosus in the remaining five. The patients were evaluated using videodermoscopy and conventional dermoscopy (with a handheld dermoscope), performed independently by three different examiners. Magnification ranged from 10x to 70x., Results: Principal findings in cases of discoid lupus erythematosus were: white patches, branching capillaries, keratin plugs and areas of reduced follicular ostia; in classic lichen planopilaris: perifollicular scales, white dots and reduced follicular ostia; and in frontal fibrosing alopecia: reduced follicular ostia, perifollicular scales, perifollicular erythema and branching capillaries. The blue-grey dots described in this paper were a novel feature in scalp dermoscopy., Conclusions: The use of dermoscopy for the clinical evaluation of the scalp in cases of cicatricial alopecia improves diagnostic capacity beyond simple clinical inspection and reveals novel features of the disease.

Published
2010
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