Disorders of hair in children

Abstract 

The patterns of presentation of paediatric hair problems can be divided into localized absence or localized abnormality of hair from birth, abnormality of hair pattern or character from birth, and acquired disorders resulting in a localized or generalized loss of hair. Hypertrichosis is uncommon in children and as a result will not be discussed in any detail. The evaluation of a child with a hair problem begins with a detailed history, followed by a thorough examination of the scalp, eyebrows, eyelashes, general body hair, nails and teeth. A general physical examination is indicated where the diagnosis is not immediately apparent and localized. Management is dependent on the condition but, in many cases, apart from infections or infestations, treatment options are limited. Often, a ‘wait and see’ approach with reassurance needs to be adopted

Keywords:  children, hair disorders, alopecia, hypotrichosis, tinea capitis