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. The study aimed to document the prevalence, spectrum and any gender based differences in types of scalp hair loss. Methodology: 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

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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 2024May22];34(2):423-9. Available from: https://jpad.com.pk/index.php/jpad/article/view/2637

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