A retrospective review of the spectrum of scalp hair loss at the Lagos State University Teaching Hospital Dermatology Clinic

A Retrospective Review of the Spectrum of Scalp Hair

Authors

  • Ehiaghe Lonia Anaba 1: Lagos State University College of Medicine/ ClinaLancet Laboratory, Lagos, Nigeria. 2: Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria.
  • Olutomi Afolabi Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria
  • Olufolakemi M Cole-Adeife Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria
  • Onoshoke Abiola Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria

Keywords:

hair loss, alopecia, alopecia areata, discoid lupus, central centrifugal cicatricial alopecia

Abstract

Background Scalp hair loss (HL) is not uncommon but the documentation of the spectrum of it in clinical settings is rare. This study aimed to document the prevalence, spectrum and any gender based differences in types of scalp hair loss.   Methods This was a retrospective chart review of 131 cases of HL treated at the out-patient dermatology clinic of the Lagos State University Teaching Hospital from January 2017 to December 2022. Data extracted included age, age at onset, gender, duration, family history of HL, pattern of HL (patchy or diffuse), symptoms (pain, pruritus) and type of HL.   Results The prevalence of HL was 3.9% and the median (IQR) age at onset of hair loss was 28 (19.37) years. The age of onset of HL occurred more between 20-29 years of age. The population was mostly female; 61.1%. Patients aged 20-39 years were predominantly affected (51.9%). Hair loss was patchy in 82.4% and symptomatic in 67.2%. Alopecia areata (AA) was the most diagnosed type of HL and the least diagnosed HL was telogen effluvium (TE). Self-medication was noted in 26.7%. Acne keloidalis nuchae and FD occurred only in males. Discoid lupus, psoriasis and CCCA occurred more in females. Traction alopecia and TE occurred only in females.   Conclusion Hair loss is an uncommon presentation in the clinic. It occurs more in females and alopecia areata is the commonest HL diagnosed. The pattern of HL is mostly patchy and non-scarring. Gender and age influence HL types.  

Author Biographies

Olutomi Afolabi, Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria

Consultant Dermatologist Dermatology Unit, Department of Medicine    

Olufolakemi M Cole-Adeife, Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria

Consultant Dermatologist Dermatology Unit, Department of Medicine

Onoshoke Abiola, Dermatology Unit, Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria

Consultant Dermatologist Dermatology Unit, Department of Medicine

References

Ozay O, Arslantas D, Unsal A, Bulur I. The frequency of alopecia and quality of life in high-school students in rural areas (Sivrihisar, Mahmudiye, Alpu, and Beylikova) of Eskisehir. North Clin Istanb 2019;6:226-235

Vañó-Galván S, Saceda-Corralo D, Blume-Peytavi U, Cucchía, J, Dlova NC, Gavazzoni DM et al. Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study. Skin appendage disorders. 2019;5:309-315.

Madubuko CR, Okwara BU. A 5-year Retrospective Study on Alopecia in a Tertiary Hospital in Southern Nigeria. Research Journal of Health Sciences. 2020;8:175-182

Onyekonwu CL, Ojinmah UR, Ozoh GAO, Okoh NU, Uche-Ejekwu JB, Onyekonwu CG. Epidemiology of Skin Diseases in University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State. Niger J Med. 2016;25:272-81.

Alomaish, A. R., Gosadi, I. M., Dallak, F. H., Durayb, A. A., Dallak, A. H., Hakami, J. A., Hakami, A. M., Alshamakhy, A. E., & Mleeh, N. T. (2021). Prevalence of alopecia and its contributing factors among primary healthcare attendees in the Jazan region, Saudi Arabia. J. Fam. Med. & Prim. Care. 2021;10:3851-3856.

Shaikh S, Shaikh S, Shaikh S, Ali Shaikh A, Saleem SG. Prevalence of hair loss and stress as the cause; a cross-sectional study. Int. J. Adv. Res. 2016;4:327-333

Ayanlowo O, Erere Otrofanowei E. Hair Care Practices, Scalp Disorders and Psychological Effects on Women in Nigeria. J Am Acad Dermatol. 2019;10267:AB218.

Zampella JG, Kwatra SG, Alhariri J. Correlation of clinical and pathologic evaluation of scarring alopecia. Int. J. Dermatol. 2019;58:194-197

Öner Ü, Akdeniz,N. Nonscarring scalp alopecia: Which laboratory analysis should we perform on whom?. Turkish J. Med. Sci. 2021;10:2106-2128.

Anaba EL, Otrofanowei E, Akinkugbe AO, Ayanlowo O, Cole-Adeife OM, Oaku IR et al., Cross-sectional Study of Trichoscopy Features, Prevalence, Types of hair loss and Hair Care Practices in an African Community. WAJM 2022; 39(10): 1013–1021.

Poonia K, Thami GP, Bhalla M, Jaiswal S, Sandhu J. NonScarring Diffuse Hair Loss in Women: a Clinico-Etiological Study from tertiary care center in North-West India. J. Cosm. Dermatol. 2019; 18:401-407

Ogunbiyi A. Acne keloidalis nuchae: prevalence, impact, and management challenges. Clin. Cosm. Invest. Dermatol. 2016;9:483-489

Su HJ, Cheng AY, Liu CH, Chu CB, Lee CN, Hsu CK et al. Primary scarring alopecia: A retrospective study of 89 patients in Taiwan. The J. Dermatol.2018;45:450–455.

Ayanlowo OO, Anaba EL, Akinkugbe AO, Otrofanowei E, Cole-Adeife O, Karami M. Folliculitis keloidalis in an urban market in Lagos, Nigeria: A community survey. J Clin Sci 2022;19:17-21.

Okoro OE, Barminasa RA, Imamb A, Ogunbiyi AO. Traction alopecia among adolescents in Keffi, Nasarawa State, Nigeria. J Egypt Women’s Dermatol Soc 2021;18:135–141

Osaze O, Olaosebikan HB, Yerima A, Uhunmwangho CU, Ima-Edomwonyi UE, Oguntona AS et al. Pattern of systemic lupus erythematosus in NIGERIA: a multicentre descriptive hospital-based study. Clin Rheumatol. 2023 Jun 20. doi: 10.1007/s10067-023-06672-y. Epub ahead of print. PMID: 37338743.

Raharja A, Mahil SK, Barker JN. Psoriasis: a brief overview. Clin Med (Lond). 2021;21:170-173.

Joseph AK, Windsor B, Hynan L S, Chong BF. Discoid lupus erythematosus skin lesion distribution and characteristics in Black patients: a retrospective cohort study. Lupus science & medicine. 2021;8: e000514.

Vañó-Galván S, Molina-Ruiz AM, Fernández-Crehuet P, Rodrigues-Barata AR, Arias-Santiago S, Serrano-Falcón C et al. Folliculitis decalvans: a multicentre review of 82 patients. J Eur Acad Dermatol Venereol. 2015;29:1750-1757

Sharma MK, Gupta S, Kumar R, Singhal AK, Jain SK, Sharma M. A Clinico-Epidemiological Study of Scalp Hair Loss in Children (0-18 Years) in Kota Region, South-East Rajasthan. Indian J Dermatol. 2019;64:285-291

Ayanlowo OO. Scalp and hair disorders at the dermatology outpatient clinic of a tertiary hospital. Port Harcourt Med J 2017;11:127-33

Conti R, Colucci R, Arunachalam M, Berti S, Fabroni C, De Martino M, Dragoni F, Lazzeri L, Pisaneschi L, Moretti S. Hair and Scalp Disorders in a Tuscan Pediatric Dermatological Outpatient Clinic: A Clinical and Epidemiological Evaluation. Med Princ Pract. 2016;25:67-71.

Anaba EL, Akinkugbe AO, Otrofanowei E, Akinsiku O. Ayanlowo O, Cole-Adeife O. Cross Sectional Study of Hair Line Recession, Severity and Trichoscopy Features of Male Androgenetic Alopecia in Nigeria Nig. J Dermatol. 2021;11:27-35

Anaba EL, Akinkugbe AO, Otrofanowei E, Cole-Adeife OM, Ayanlowo O. Female Androgenetic Alopecia amongst Market Women in Lagos, Nigeria. West Afr. J. Med. 2021;38:979–984

Dlova NC, Salkey KS, Callender VD, McMichael AJ. Central Centrifugal Cicatricial Alopecia: New Insights and a Call for Action. J. Invest. Dermatol. Sym. Proc. 2017;18:S54-S56.

Anaba EL, Akinkugbe AO, Otrofanowei, E, Ayanlowo O, Cole-Adeife O,c Itohan Oaku. Marginal Traction alopecia: Hair Care Practices, Severity Scoring and Trichoscopy Features in Lagos, Nigeria. WAJM 2022; 39:808-815

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Published

2024-04-21

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1.
Anaba EL, Afolabi O, Cole-Adeife OM, Abiola O. A retrospective review of the spectrum of scalp hair loss at the Lagos State University Teaching Hospital Dermatology Clinic: A Retrospective Review of the Spectrum of Scalp Hair . J Pak Assoc Dermatol [Internet]. 2024Apr.21 [cited 2025Feb.8];34(2):423-9. Available from: https://jpad.com.pk/index.php/jpad/article/view/2637

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