Alopecia physical examination: Difference between revisions
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Revision as of 20:11, 13 March 2013
Alopecia Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
Appearance of the Patient
The appearance of the patient can provide clues to the diagnosis of alopecia.
- Normal or with features of scarring
- If scalp is abnormal it provides clues to the differential diagnosis
- Pattern: Diffuse or patchy
- Male pattern (diffuse): Bitemporal recession +/or vertex loss
- Female pattern (diffuse): Coronal thinning with preserved anterior hairline
- Patchy: With preserved hair of variable length (breakage)
- With exclamation point hairs (alopecia areata)
- With no hair (scarring, traction, syphilis, tinea)
- Patient may also have nails that have a hammered brass appearance.