Komalpreet Kaur; Jasleen Kaur; Saurabh Sharma
Abstract
Background: Androgenetic alopecia (AGA) is a non-scarring form of patterned hair loss characterized by the miniaturization of terminal hair into vellus hair. The scalp biopsy was once considered an ideal tool for diagnosing the disease, though dermatoscopy has emerged as a reliable technique that can ...
Read More
Background: Androgenetic alopecia (AGA) is a non-scarring form of patterned hair loss characterized by the miniaturization of terminal hair into vellus hair. The scalp biopsy was once considered an ideal tool for diagnosing the disease, though dermatoscopy has emerged as a reliable technique that can aid in the diagnosis and monitor the disease severity.Methods: A total of 68 patients (38 males and 30 females) in the age group of 21-70 years attending the dermatology outpatient department in 1 year were included in the study. A detailed history was taken, followed by a scalp examination. The type of hair loss in each patient was documented. Then, a dermatoscopic examination was done using a Dermlite DL4 dermoscope.Results: Hair thickness heterogeneity was the most common dermatoscopic feature seen in all the patients of male and female pattern hair loss. There was a positive correlation between some dermatoscopic variables such as yellow dots and perifollicular pigmentation with the disease severity. Yellow dots were seen in the late stages of AGA (P < 0.01), while perifollicular pigmentation was observed in the early stages of AGA (P < 0.01).Conclusions: Trichoscopy is a simple and non-invasive office tool that aids in diagnosing AGA. It allows the various sections of hair to be examined simultaneously and obviates the need for a scalp biopsy. Besides this, it helps assess the disease severity and the photographic documentation at each visit helps monitor the response to treatment.
Saurabh Sharma; Vinay Kajal; Parwaaz Matharoo; Roopam Bassi
Abstract
Acute blue finger syndrome is a rare benign condition with an unknown etiology. It predominantly affects middle-agedfemales and may be associated with pain, itching, or a burning sensation. The bluish discoloration is usually idiopathic, and it is necessary to rule out other causes of blue fingers. The ...
Read More
Acute blue finger syndrome is a rare benign condition with an unknown etiology. It predominantly affects middle-agedfemales and may be associated with pain, itching, or a burning sensation. The bluish discoloration is usually idiopathic, and it is necessary to rule out other causes of blue fingers. The syndrome is a diagnosis of exclusion and has a good prognosis. The sudden color change can lead to patient anxiety, but the physician’s insight regarding the benign nature can alleviate unnecessary distress. We present the case of an adult female with bluish discoloration of the proximal phalanx of the left index finger, which was sudden in onset and asymptomatic. Following a thorough history and workup, the patient was counseled, and on follow-up, a spontaneous resolution was observed. We intend to report this case due to the rarity of blue finger syndrome as well as to highlight the significance of its benign nature and spontaneous resolution.