Trichoscopic Insights into Rare Inherited Hair Disorders: A Case Series
DOI:
https://doi.org/10.65129/medical.v1i2.72Keywords:
Congenital Hypotrichosis, Inherited Hair Disorders, Loose Anagen Syndrome, Trichoptilosis, Trichoscopy, Woolly HairAbstract
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
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of Medical and Medical Specialities

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Maxfield L, Cook C. Loose Anagen Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK526030/
2. Dhurat RP, Deshpande DJ. Loose anagen hair syndrome. Int J Trichology. 2010; 2(2):96-100. https://doi.org/10.4103/09747753.77513 PMid:21712911 PMCid:PMC3107966.
3. Ramot Y, Zlotogorski A. The twisting tale of woolly hair: A trait with many causes. J Med Genet. 2015; 52(4):217-223. https://doi.org/10.1136/jmedgenet-2014-102630
4. Vasudevan B, Verma R, Badad A, Pragasam V. A rare case of woolly hair with unusual associations. Indian Dermatol Online J. 2013; 4(3):222. https://doi.org/10.4103/22295178.115524 PMid:23984241 PMCid:PMC3752483.
5. Olszewska M, Rudnicka L, Rakowska A, Kowalska OE, Slowinska M. Trichoscopy. JAMA Dermatology. 2008;144(8):1007. https://doi.org/10.1001/archderm.144.8.1007
6. Rakowska A, Slowinska M, Kowalska OE, Rudnicka L. Trichoscopy in genetic hair shaft abnormalities. J Dermatol Case Rep. 2008; 2:14-20. https://doi.org/10.3315/jdcr.2008.1009
7. Priolo M, Lagana C. Ectodermal dysplasias: A new clinicalgenetic classification. J Med Genet. 2001; 38(9):579-585. https://doi.org/10.1136/jmg.38.9.579 PMid:11546825 PMCid:PMC1734928.
8. Rakowska A, Slowinska M, Kowalska-Oledzka E, Olszewska M, Rudnicka L. Trichoscopy in genetic hair shaft abnormalities. J Dermatol Case Rep. 2008; 2(2):1420. https://doi.org/10.3315/jdcr.2008.1005 PMCid:PMC 3157774.
9. Shimomura Y, Christiano AM. Genetics of hair loss disorders. Semin Cutan Med Surg. 2010; 29(1):4-10. https://doi.org/10.1016/j.sder.2010.01.002 PMid:20430302.
10. Olszewska M, Rakowska A, Slowinska M, Rudnicka L. Trichoscopy: A new method for diagnosing hair loss. J Drugs Dermatol. 2008; 7(7):651-654. https://doi.org/10.1001/archderm.144.8.1007 PMid:18711072.
