.: ORİJİNAL ARAŞTIRMA
Traksiyonel Alopesinin Trikoskopik Bulgularının Değerlendirilmesi
Evaluation of Trichoscopic Findings of Tractional Alopecia
Turkiye Klinikleri J Dermatol. 2019;29(1):7-14
doi: 10.5336/dermato.2019-64693
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Traksiyonel alopesinin klinik olarak değerlendirilmesinde videodermoskop ile trikoskopik incelemenin yerinin araştırılmasıdır. Gereç ve Yöntemler: Çalışmaya, polikliniğe saç dökülmesi şikâyetiyle ile başvuran, klinik ve histopatolojik inceleme sonrası traksiyonel alopesi tanısı alan dokuz hasta dâhil edildi. Hastaların yaş, cinsiyet, deri fototipi, hastalığın süresi, etiyolojisi, saçak bulgusu varlığı, alopesinin yerleşim yeri ve yaygınlığı kaydedildi. Tüm hastalarda alopesik alanın sınırından, vertikal ve horizontal inceleme için 4 mm'lik iki adet Punch biyopsi örneği alındı. Klinik fotoğraflar videodermoskop ile çekildi. Trikoskopik fotoğraflar, klinik fotoğrafların çekildiği videodermoskop ile X30'luk büyütmede elde edildi. Tüm klinik ve trikoskopik bulgular kaydedildi. Trikoskopik bulgular daha önceki yayınlarda tanımlanan bulgularla oluşturulan kontrol listesine göre incelendi. Bulgular: Vellus saçlar ve saç çapı değişkenliği tüm hastalarda saptandı. Kısa vellus saçlar, sarı nokta, folikül ağzı yokluğu ve pili torti %55,6 oranında izlendi. Boş foliküller, saç silendiri ve tül bulgusu ise %44,4 oranında saptandı. Kırık saçlar ise en nadir görülen foliküler trikoskopik bulguydu. Epidermal skuam ve perifoliküler eritem (%66,7) interfoliküler trikoskopik bulgular içinde en sık saptanan bulgular idi. Dallanan kırmızı çizgiler, kirli nokta, pembe-beyaz görünüm, balpeteği pigment paterni, iğne ucu ve fibrotik beyaz noktalar ise traksiyonel alopeside izlenen diğer interfoliküler bulgulardı. Sonuç: Çalışmamıza göre, traksiyonel alopeside videodermoskop ile yapılan trikoskopik inceleme, hastalığın tanısının konmasında faydalı bir yöntemdir.
Anahtar Kelimeler: Alopesi; dermoskopi; traksiyonel alopesi; trikoskopi; videodermoskopi
Amaç: Traksiyonel alopesinin klinik olarak değerlendirilmesinde videodermoskop ile trikoskopik incelemenin yerinin araştırılmasıdır. Gereç ve Yöntemler: Çalışmaya, polikliniğe saç dökülmesi şikâyetiyle ile başvuran, klinik ve histopatolojik inceleme sonrası traksiyonel alopesi tanısı alan dokuz hasta dâhil edildi. Hastaların yaş, cinsiyet, deri fototipi, hastalığın süresi, etiyolojisi, saçak bulgusu varlığı, alopesinin yerleşim yeri ve yaygınlığı kaydedildi. Tüm hastalarda alopesik alanın sınırından, vertikal ve horizontal inceleme için 4 mm'lik iki adet Punch biyopsi örneği alındı. Klinik fotoğraflar videodermoskop ile çekildi. Trikoskopik fotoğraflar, klinik fotoğrafların çekildiği videodermoskop ile X30'luk büyütmede elde edildi. Tüm klinik ve trikoskopik bulgular kaydedildi. Trikoskopik bulgular daha önceki yayınlarda tanımlanan bulgularla oluşturulan kontrol listesine göre incelendi. Bulgular: Vellus saçlar ve saç çapı değişkenliği tüm hastalarda saptandı. Kısa vellus saçlar, sarı nokta, folikül ağzı yokluğu ve pili torti %55,6 oranında izlendi. Boş foliküller, saç silendiri ve tül bulgusu ise %44,4 oranında saptandı. Kırık saçlar ise en nadir görülen foliküler trikoskopik bulguydu. Epidermal skuam ve perifoliküler eritem (%66,7) interfoliküler trikoskopik bulgular içinde en sık saptanan bulgular idi. Dallanan kırmızı çizgiler, kirli nokta, pembe-beyaz görünüm, balpeteği pigment paterni, iğne ucu ve fibrotik beyaz noktalar ise traksiyonel alopeside izlenen diğer interfoliküler bulgulardı. Sonuç: Çalışmamıza göre, traksiyonel alopeside videodermoskop ile yapılan trikoskopik inceleme, hastalığın tanısının konmasında faydalı bir yöntemdir.
Anahtar Kelimeler: Alopesi; dermoskopi; traksiyonel alopesi; trikoskopi; videodermoskopi
ABSTRACT
Objective: The aim of this study is to investigate the significance of trichoscopy by videodermoscope in the clinical evaluation of traction alopecia. Material and Methods: Nine patients, who presented with hair shedding and were diagnosed as traction alopecia after clinical and histopathological evaluation, were included. The age, gender, skin phototype, duration of the disease, etiology, presence of fringe sign, location of the alopecia and the distribution were noted. Two different Punch biopsies of 4 mm were performed from the border of alopecic area for vertical and horizontal investigation in all patients. Clinical photos were undertaken with videodermoscope. Trichoscopic photos were held in 30 fold magnification by videodermoscopy which was used to take clinical photos. All clinical and trichoscopic findings were recorded. They were examined in accordance with the checklist which was described by the features of the previous publications. Results: Vellus hairs and hair diameter diversity were detected in all patients. Short vellus hair, yellow dot, absence of follicular openings and pili torti were shown in 55.6% of the patients. Empty follicles, hair casts and veil feature were established in 44.4% of cases. Broken hairs were the most uncommon follicular trichoscopic finding. Whereas epidermal squam and perifollicular erythema (66.7%) were the most common interfollicular trichoscopic findings. Arborizing red lines, dirty dots, pink-white appearance, honeycomb pigment pattern, pinpoint and fibrotic white dots were the other observed interfollicular features in traction alopecia. Conclusion: According to our study, trichoscopic examination held by videodermoscopy is a useful method in the diagnosis of traction alopecia.
Keywords: Alopecia; dermoscopy; traction alopecia; trichoscopy; videodermoscopy
Objective: The aim of this study is to investigate the significance of trichoscopy by videodermoscope in the clinical evaluation of traction alopecia. Material and Methods: Nine patients, who presented with hair shedding and were diagnosed as traction alopecia after clinical and histopathological evaluation, were included. The age, gender, skin phototype, duration of the disease, etiology, presence of fringe sign, location of the alopecia and the distribution were noted. Two different Punch biopsies of 4 mm were performed from the border of alopecic area for vertical and horizontal investigation in all patients. Clinical photos were undertaken with videodermoscope. Trichoscopic photos were held in 30 fold magnification by videodermoscopy which was used to take clinical photos. All clinical and trichoscopic findings were recorded. They were examined in accordance with the checklist which was described by the features of the previous publications. Results: Vellus hairs and hair diameter diversity were detected in all patients. Short vellus hair, yellow dot, absence of follicular openings and pili torti were shown in 55.6% of the patients. Empty follicles, hair casts and veil feature were established in 44.4% of cases. Broken hairs were the most uncommon follicular trichoscopic finding. Whereas epidermal squam and perifollicular erythema (66.7%) were the most common interfollicular trichoscopic findings. Arborizing red lines, dirty dots, pink-white appearance, honeycomb pigment pattern, pinpoint and fibrotic white dots were the other observed interfollicular features in traction alopecia. Conclusion: According to our study, trichoscopic examination held by videodermoscopy is a useful method in the diagnosis of traction alopecia.
Keywords: Alopecia; dermoscopy; traction alopecia; trichoscopy; videodermoscopy
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