PMC5312192_01
In the first consultation, we observed diffuse and irregular hair
thinning with short hairs Figure
abd-92-01-0118-gf01.jpg
PMC5312192_01_abd-92-01-0118-gf01.jpg
f1
Dermatological examination revealed diffuse thinning with short, jagged, and broken hairs, and negative tensile test (Figure 1).
Dermoscopy revealed broken hairs of different lengths, vellus hair (black
arrow), V-sign or ballerina baldness aspect (red circle), and numerous
black dots (blue circle). Alopecia areata features - such as exclamation
point hairs and yellow dots - were not observed
abd-92-01-0118-gf02.jpg
PMC5312192_01_abd-92-01-0118-gf02.jpg
f2
We observed no exclamation point hairs, nor yellow dots (Figure 2).
We observed progressive improvement in the six months follow-up, with
noticeable increase in capillary density. Compare figures A and B
(before treatment) to figures C and D (after sixth months of
treatment)
abd-92-01-0118-gf03.jpg
PMC5312192_01_abd-92-01-0118-gf03.jpg
f3
She showed progressive improvement in the 6-month follow-up, with noticeable increase in capillary density and improved TTM dermoscopy findings (Figures 3 and 4).
Dermoscopy showed an increase in capillary density, improvement of
trichotillomania findings and hairs in the growth phase
abd-92-01-0118-gf04.jpg
PMC5312192_01_abd-92-01-0118-gf04.jpg
f4
She showed progressive improvement in the 6-month follow-up, with noticeable increase in capillary density and improved TTM dermoscopy findings (Figures 3 and 4).