Alopecia Areata in Children

By PC Luis Quiroz Ravines

Areta alopecia in children is unusual. In infants, dermatology consultations represent 2% to 5%, although there is no known cause of alopecia, which is defined as hair loss of any origin and etiology, it is believed that its origin is multifunctional, involving genetic predisposition and immune deficiency.

Also may be due to protein malnutrition, especially in the phase of growth of the hair follicle, or states of hyperthyroidism, anemia and in some cases to consequences of chemotherapy.

Alopecia is derived from the term alopex and was coined by French dermatologist to observe that fox renewed its hair twice a year. Alopecia areata is the most common in children and young and in the majority of cases the first plate appears between 5 and 20 years and probably by autoimmune disorders related to thyroid diseases

The age of the patient and the extension of alopecia condition the type of treatment and the hair loss treatment protocol should determine in clinical form and for each case. The doctor tries to repopulate the plates or uncovered areas

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Alopecia Areata in Children

In the case of single plates or very few, in half of the cases, they tend spontaneously to repopulate ,what is discussed whether to apply in these cases therapeutic intervention. In other cases the option is the use of topical steroids or minoxidil, that can regulate follicular Physiology by its vasodilator action

No assurance can be given that treatment, regardless of the form, completely alters the evolution of baldness or guarantee that there will be no other relapses. Really no treatment gives better results than another, almost all offer similar results and recurrences are similarThe intervention of psychologists and psychiatrists is frequent and recommended to reduce psychological conflicts of patients and even family members.


Alopecia Areata in Children under 5

At this age children do not pay much attention to their hair loss, they are busy exploring their world, experiencing, acquiring skills and interacting with peers. Their appearance is not very important to them. Alopecia Areata in Children is a condition that does not deserve much attention to the child or their companions.

Alopecia Areata in Children 6 to 12 years

At this age, children have a different view and it is important to pay attention to what others feel and think, for the child to be more self aware, Alopecia Areata in Children, if it affects them, because they are awaiting the opinion of others and distinguish and capture individual differences that can cause hair loss jokes and comments.


Alopecia Areata in Children, Treatment Options

Of the many optionsfor Alopecia Areata in Children, we review some

Alopecia Areata in Children, Treatment with Topical corticosteroids

In moderate to severe treatments have been effective application of potent topical corticosteroids. In a twelve-week study, the application of 0.05% clobetasol propionate showed a hair recovery to 50% and in other cases only to 29%

Alopecia Areata in Children, Treatment with Topical minoxidil

A studio application showed that 3% Topical minoxidil improved hair regrowth and in another study, applying minoxidil in concentrations of 1% to 5% was experienced even greater growth.

Alopecia Areata in Children, Treatment with Intralesional corticosteroids

In adults the treatment for hair loss is giving injections of corticoids to the deep dermis of the affected area, making minimal systemic absorption.

Due to fear of injections, application of Intralesional corticosteroids in children is limited. To reduce pain sometimes very small needles are used, ice packs, distraction therapy, ethyl chloride spray and topical anesthetic creams. The use of these creams is an important way to reduce pain and improve acceptance of children.

Alopecia Areata in Children, Treatment with Topical immunotherapy

In chronic cases and extensive Alopecia Areata in Children where the use of corticoids injections are not practical, use Topical immunotherapy. With this treatment to combat Alopecia Areata in Children are obtained responses from 9% to 87% in adults.

Alopecia Areata in Children with Laser therapy

The application of 308-nm excimer laser in severe cases of Alopecia Areata in Children, has shown some efficacy in some cases, especially as an adjunct therapy in recurrent cases.It has been known a case where successfully applied laser therapy, after other treatments such as topical minoxidil, corticosteroid injections and topical corticosteroids had failed.

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