Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)

Detalhes bibliográficos
Autor(a) principal: Rocha, J
Data de Publicação: 2011
Outros Autores: Ventura, F, Vieira, AP, Pinheiro, AR, Fernandes, F, Brito, C
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.23/91
Resumo: INTRODUCTION: Alopecia areata usually presents as patchy, nonscarring hair loss. It seems to be an immune mediated disease, whereas genetic predisposition, environmental and psychological triggers may be involved in its aetiology. OBJECTIVES: To study the epidemiology, clinical aspects, associations, and treatment of alopecia areata in the paediatric population of Peadiatric Dermatology outpatients over a 9-year period. Some psychologic characteristics were also assessed. METHODS: Descriptive and retrospective study of all newly diagnosed AA cases seen from January 2000 to December 2008 at the Hospital de São Marcos' Paediatric Dermatology Department. Fifteen patients with AA were interviewed for psycologic evaluation. RESULTS: Forty-eight cases (54% male/46% female) were identified. Mean age at presentation was 7.8 years. Family history of AA was reported in 10% of the cases, and in 25% there was a personal and/or family history of atopy. The majority of patients (82%) had mild disease and topical corticotherapy was the first-line treatment for limited AA. Fifty-four percent of these patients had a complete resolution of the lesions with treatment. Systemic treatment (corticosteroids and/or ciclosporin) was used in 71% of patients with extensive disease (more than 50% hair loss). Only one of these patients had a sustained clinical improvement after treatment. Twelve out of 15 respondents (80%) recalled stressful events preceding hair loss. DISCUSSION: Our findings are similar to those reported in other studies. Epidemiologic studies of AA are available in adulthood but there is a paucity of literature on children with AA. A holistic approach is important in the management of childhood AA as the disease can have a severe psychologic impact on an individual's well-being.
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spelling Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)Alopecia areata: a retrospective study of the paediatric dermatology department (2000-2008)Alopécia AreataCriançaINTRODUCTION: Alopecia areata usually presents as patchy, nonscarring hair loss. It seems to be an immune mediated disease, whereas genetic predisposition, environmental and psychological triggers may be involved in its aetiology. OBJECTIVES: To study the epidemiology, clinical aspects, associations, and treatment of alopecia areata in the paediatric population of Peadiatric Dermatology outpatients over a 9-year period. Some psychologic characteristics were also assessed. METHODS: Descriptive and retrospective study of all newly diagnosed AA cases seen from January 2000 to December 2008 at the Hospital de São Marcos' Paediatric Dermatology Department. Fifteen patients with AA were interviewed for psycologic evaluation. RESULTS: Forty-eight cases (54% male/46% female) were identified. Mean age at presentation was 7.8 years. Family history of AA was reported in 10% of the cases, and in 25% there was a personal and/or family history of atopy. The majority of patients (82%) had mild disease and topical corticotherapy was the first-line treatment for limited AA. Fifty-four percent of these patients had a complete resolution of the lesions with treatment. Systemic treatment (corticosteroids and/or ciclosporin) was used in 71% of patients with extensive disease (more than 50% hair loss). Only one of these patients had a sustained clinical improvement after treatment. Twelve out of 15 respondents (80%) recalled stressful events preceding hair loss. DISCUSSION: Our findings are similar to those reported in other studies. Epidemiologic studies of AA are available in adulthood but there is a paucity of literature on children with AA. A holistic approach is important in the management of childhood AA as the disease can have a severe psychologic impact on an individual's well-being.Centro Editor Livreiro da Ordem dos MédicosRepositório Científico do Hospital de BragaRocha, JVentura, FVieira, APPinheiro, ARFernandes, FBrito, C2012-01-10T18:25:08Z2011-01-01T00:00:00Z2011-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/91porActa Med Port. 2011;24(2):207-14.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:01:34Zoai:repositorio.hospitaldebraga.pt:10400.23/91Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:54:08.208792Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
Alopecia areata: a retrospective study of the paediatric dermatology department (2000-2008)
title Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
spellingShingle Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
Rocha, J
Alopécia Areata
Criança
title_short Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
title_full Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
title_fullStr Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
title_full_unstemmed Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
title_sort Alopécia Areata: Análise Retrospectiva da Consulta de Dermatologia. Pediátrica (2000-2008)
author Rocha, J
author_facet Rocha, J
Ventura, F
Vieira, AP
Pinheiro, AR
Fernandes, F
Brito, C
author_role author
author2 Ventura, F
Vieira, AP
Pinheiro, AR
Fernandes, F
Brito, C
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Hospital de Braga
dc.contributor.author.fl_str_mv Rocha, J
Ventura, F
Vieira, AP
Pinheiro, AR
Fernandes, F
Brito, C
dc.subject.por.fl_str_mv Alopécia Areata
Criança
topic Alopécia Areata
Criança
description INTRODUCTION: Alopecia areata usually presents as patchy, nonscarring hair loss. It seems to be an immune mediated disease, whereas genetic predisposition, environmental and psychological triggers may be involved in its aetiology. OBJECTIVES: To study the epidemiology, clinical aspects, associations, and treatment of alopecia areata in the paediatric population of Peadiatric Dermatology outpatients over a 9-year period. Some psychologic characteristics were also assessed. METHODS: Descriptive and retrospective study of all newly diagnosed AA cases seen from January 2000 to December 2008 at the Hospital de São Marcos' Paediatric Dermatology Department. Fifteen patients with AA were interviewed for psycologic evaluation. RESULTS: Forty-eight cases (54% male/46% female) were identified. Mean age at presentation was 7.8 years. Family history of AA was reported in 10% of the cases, and in 25% there was a personal and/or family history of atopy. The majority of patients (82%) had mild disease and topical corticotherapy was the first-line treatment for limited AA. Fifty-four percent of these patients had a complete resolution of the lesions with treatment. Systemic treatment (corticosteroids and/or ciclosporin) was used in 71% of patients with extensive disease (more than 50% hair loss). Only one of these patients had a sustained clinical improvement after treatment. Twelve out of 15 respondents (80%) recalled stressful events preceding hair loss. DISCUSSION: Our findings are similar to those reported in other studies. Epidemiologic studies of AA are available in adulthood but there is a paucity of literature on children with AA. A holistic approach is important in the management of childhood AA as the disease can have a severe psychologic impact on an individual's well-being.
publishDate 2011
dc.date.none.fl_str_mv 2011-01-01T00:00:00Z
2011-01-01T00:00:00Z
2012-01-10T18:25:08Z
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dc.relation.none.fl_str_mv Acta Med Port. 2011;24(2):207-14.
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dc.publisher.none.fl_str_mv Centro Editor Livreiro da Ordem dos Médicos
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