Dermatosis of scalp and hair disorder: an observational study in a hilly state of North-East India

Authors

  • Subrata Kumar Das Department of Dermatology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  • Saptadipa Das Department of Medicine, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20213350

Keywords:

Dermatosis, Scalp, Hair, Observational study, Hospital

Abstract

Background: The skin of the scalp has several unique features that aid in its critical role of protecting the head. These unique features of the scalp make it susceptible to superficial mycotic conditions, parasitic infestation and inflammatory conditions. These disease processes of the scalp can have significant overlap in clinical symptomatology. The aim was to observe the clinical profile of scalp dermatosis and hair disorder at a tertiary care hospital.

Methods: This was a cross sectional observational study which was carried over a period of 1 year 5 months from August 2019 to November 2020. A total of 76 patients were included in the study, who visited dermatology OPD of SMIMS, Sikkim.

Results: This study included 76 patients of clinically and histopathologically diagnosed cases of scalp dermatosis and hair disorder, 47 males and 29 females. A total of 18 different dermatoses were observed in this study. The most common disorder was seborrheic dermatitis, which accounted for 18.4 %, followed by androgenetic alopecia in 17% and alopecia areata in 15% cases in the present study.

Conclusions: The article provides an overview of the most common scalp disorders, which we have observed in our study.

Author Biography

Subrata Kumar Das, Department of Dermatology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India

Senior Resident Doctor , Department of Dermatology, SMIMS, Sikkim

References

Babel D, Baughman S. Evaluation of the adult carrier state in juvenile tinea capitis. J Am Acad Dermatol. 1989;21(6):1209-12.

Cardin C. Isolated dandruff. In: Baran R, Maibach H, eds. Textbook of Cosmetic Dermatology. Malden, MA: Blackwell Science; 1998: 193-200.

Chosidow O. Scabies and pediculosis. Lancet. 2000;355(9206):819-26.

Elewski B. Tinea capitis: a current perspective. J Am Acad Dermatol. 2000;42:1-20.

Erchiga V, Florencio V. Malassezia species in skin diseases. Curr Opin Infect Dis. 2002;15(2):133-42.

Herbert A. Tinea capitis. Arch Dermatol. 1988;124(10):1554-7.

Farthing C, Staughton R, Payne CR. Skin disease in homosexual patients with acquired immune deficiency syndrome (AIDS) and lesser forms of human T cell leukaemia virus (HTLV III) disease. Clin Exp Dermatol. 1985;10:3-12.

Gemmer C, DeAngelis Y, Theelen B, Boekhout T, Dawson TL. Fast, noninvasive method for molecular detection and differentiation of Malassezia yeast species on human skin and application of the method to dandruff microbiology. J Clin Microbiol. 2002;40(9):3350-7.

Sinclair R, Banfield C, Dawber R. Infections and infestations of the hair. Handbook of diseases of the hair and scalp. Malden, MA: Blackwell Science; 1999: 191-200.

Martin E, Elewski B. Tinea capitis in adult women masquerading as bacterial pyoderma. J Am Acad Dermatol. 2003;49(2):177-9.

Abdel-Rahman SM, Nahata MC. Treatment of tinea capitis. Ann Pharmacother. 1997;31(3):338-48.

Arenas R, Toussaint S, Isa-Isa R. Kerion and dermatophytic granuloma. Mycological and histopathological findings in 19 children with inflammatory tinea capitis of the scalp. Int J Dermatol. 2006;45(3):215-9.

Aron-Brunetiere R, Dompmartin-Pernot D, Drouhet E. Treatment of piyriais capitis (dandruff) with econazole nitrate. Acta Derm Venereol. 1977;57(1):77-80.

Cardin C. Isolated dandruff. In: Baran R, Maibach H, eds. Text book of Cosmetic Dermatology. Malden, MA: Blackwell Science; 1998: 193-200.

Comaish S. Autoradiographic studies of hair growth in various dermatoses: investigations of a possible circadian rhythm in normal hair growth. Br J Dermatol. 1969;81(4):283-8.

Kristina S, Georgi T, Uwe W. Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities. Clin Cosmet Investig Dermatol. 2013;6:177-82.

DeVillez RL. Infectious, physical, and inflammatory causes of hair and scalp abnormalities. In: Olsen EA, eds. Disorders of Hair Growth: Diagnosis and Treatment. New York: McGraw-Hill Inc; 1994: 71-90.

Elewski BE. Tinea capitis: a current perspective. J Am Acad Dermatol. 2000;42:1-20.

Elewski BE. Clinical diagnosis of common scalp disorders. J Investig Dermatol Symp Proc. 2005;10(3):190-3.

Farthing CF, Staughtom RCD. Skin disease in homosexual patients with acquired immune deficiency syndrome (AIDS) and lesser forms of human T cell leukaemia virus (HTLV III) disease. Clin Exp Dermatol. 1985;10:3-12.

Gemmer CM, DeAngelis YM, Theelen B, Boekhout T, Dawson TL. Fast, non-invasive method for molecular detection and differentiation of Malassezia yeast species on human skin and application of the method to dandruff microbiology. J Clin Microbiol. 2002;40(9):3350-7.

Gottlieb AB. Therapeutic options in the treatment of psoriasis and atopic dermatitis. J Am Acad Dermatol. 2005;53:3-16.

Hainer BL. Dermatophyte infections. Am Fam Physician. 2003;67(1):101-8.

Higgins EM, Fuller LC, Smith CH. Guidelines for the management of tinea capitis. Br J Dermatol. 2000;143(1):53-8.

Ko CJ, Elston DM. Pediculosis. J Am Acad Dermatol. 2004;50(1):1-12.

Miller JJ, Roling D, Margolis D, Guzzo C. Failure to demonstrate therapeutic tachyphylaxis to topically applied steroids in patients with psoriasis. J Am Acad Dermatol. 1999;41(4):546-9.

Mrowietz U, Elder JT, Barker J. The importance of disease associations and concomitant therapy for the long-term management of psoriasis patients. Arch Dermatol Res. 2006;298(7):309-19.

Myers WA, Gottlieb AB, Mease P. Psoriasis and psoriatic arthritis: clinical features and disease mechanisms. Clin Dermatol. 2006;24(5):438-47.

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Published

2021-08-23

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Original Research Articles