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Course: Progressive Hair Loss With Short Hair in a Child

CME Credits: 1.00

Released: 2022-11-23

A school-aged girl presented to the dermatology clinic with a 6-year history of hair loss and short hair. Her scalp hair was relatively normal in terms of density and length at birth. Since the age of 1 year, the girl had begun to have frequent hair loss without pulling. Her mother also found that her hair grew to approximately the same maximum length down to the upper neck without trimming. On clinical examination, diffuse, short, sparse, lanugolike, black hair over the scalp was found (, A and B). The surface of the scalp was smooth without inflammatory changes or focal alopecic patches. No involvement of eyebrows, eyelashes, nails, teeth, or body hair was found. Her intellectual performance was normal at presentation and no developmental delay had ever been noted. She denied experiencing a stressful event recently, and no habitual pulling of hair was observed by her family. Family history regarding hair loss was unremarkable.


Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.


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