Trichoscopic Insights into Rare Inherited Hair Disorders: A Case Series

Authors

  •   K. Rajarajan Department of Dermatology, Venereology and Leprosy, Madras Medical College, Chennai - 600010, Tamil Nadu
  •   H. Dhanaselvi Department of Dermatology, Venereology and Leprosy, Madras Medical College, Chennai - 600010, Tamil Nadu
  •   S. Murugan Department of Dermatology, Venereology and Leprosy, Madras Medical College, Chennai - 600010, Tamil Nadu
  •   V. Sampath Department of Dermatology, Venereology and Leprosy, Madras Medical College, Chennai - 600010, Tamil Nadu

DOI:

https://doi.org/10.65129/medical.v1i2.72

Keywords:

Congenital Hypotrichosis, Inherited Hair Disorders, Loose Anagen Syndrome, Trichoptilosis, Trichoscopy, Woolly Hair

Abstract

Background: Rare inherited hair disorders pose diagnostic challenges in pediatric dermatology. Trichoscopy, a non-invasive technique, enhances diagnostic accuracy through visualization of hair and scalp abnormalities. Objective: To document trichoscopic features of Loose Anagen Syndrome (LAS), Woolly Hair (WH), and Congenital Hypotrichosis (CH) in pediatric patients, highlighting its role in early diagnosis and management. Methods: A descriptive case series was conducted at a tertiary dermatology center. Three pediatric patients underwent clinical evaluation, trichoscopy using a HEINE DELTA 30 dermatoscope, and in one case, trichogram analysis. Results: LAS showed black dots, single follicular units, perifollicular scaling, and “floppy sock” anagen hairs. WH exhibited variation in shaft diameter, pigment dilution, “crawling snake” appearance, and trichoptilosis. CH revealed vellus hairs, pigment dilution, white and brown globules, and pseudo-reticular pigment network. Conclusion: Trichoscopy is a vital, painless diagnostic tool in pediatric trichology, facilitating early detection of inherited hair disorders and guiding genetic evaluation and counseling. Trichoscopy, Loose Anagen Syndrome, Woolly Hair, Congenital Hypotrichosis, Pediatric Hair Disorders, Genetic Alopecia, Dermoscopy, Non-invasive Diagnosis

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Published

2025-06-30

How to Cite

Rajarajan, K., Dhanaselvi, H., Murugan, S., & Sampath, V. (2025). Trichoscopic Insights into Rare Inherited Hair Disorders: A Case Series. Journal of Medical and Medical Specialities, 1(2), 129–135. https://doi.org/10.65129/medical.v1i2.72

Issue

Section

Case Series

References

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