Alopecia physical examination: Difference between revisions
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====Head==== | ====Head==== | ||
*[[Scalp]] | *[[Scalp]] | ||
**Normal or with features of [[scarring]] | |||
**If scalp is abnormal it provides clues to the differential diagnosis | |||
***Scaling | |||
***[[Erythema]] | |||
***[[Pustules]] | |||
***Dyspigmentation | |||
*Pattern: Diffuse or patchy | *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]]) | |||
====Extremities==== | ====Extremities==== |
Revision as of 19:55, 11 June 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.
Head
- Scalp
- 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)
Extremities
- Patient may also have nails that have a hammered brass appearance.