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Accuracy of clinical diagnosis and videodermoscopy in female pattern hair loss.
Mancilla, Gener-Alejandro; Restrepo, Rodrigo; Sanclemente, Gloria.
Afiliação
  • Mancilla GA; Group of Investigative Dermatology (GRID), University of Antioquia, Medellín, Colombia.
  • Restrepo R; Universidad CES, Medellín, Colombia.
  • Sanclemente G; Group of Investigative Dermatology (GRID), University of Antioquia, Medellín, Colombia.
Skin Res Technol ; 27(4): 537-543, 2021 Jul.
Article em En | MEDLINE | ID: mdl-33141980
BACKGROUND: Female pattern hair loss (FPHL) is a non-scarring hair disease characterized by progressive hair diminishment and decrease of its density. Although typical cases of FPHL are usually straightforward to diagnose, its initial forms can be unrecognized and often need the use of other diagnostic methods. OBJECTIVE: To describe the accuracy of a diagnosis of FPHL based on clinical grounds and videodermoscopy compared with scalp biopsy. METHODS: An observational diagnostic test study was performed. Scalp biopsies were read by the same dermatopathologist and processed horizontally to allow follicle's number and size evaluation. Digital videodermoscopy was also performed. RESULTS: A total of 202 patients were enrolled, but only 35 women were assessed with digital videodermoscopy. When clinical diagnosis was compared to scalp biopsy, a sensitivity, specificity, positive predictive value (PPV), and a negative predictive value (NPV), of 77% %, 72.4%, 82.2%; and 65.5%, were respectively obtained. Videodermoscopy showed a sensitivity, specificity, PPV and NPV of 88.9%, 100%, 100%, and 72.7%, respectively. CONCLUSIONS: This study provided valuable information on the accuracy of clinical examination of FPHL, showed the usefulness of videodermoscopy as a method that in the future may replace scalp biopsy for its diagnosis, or also could aid patient´s follow-up.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatoses do Couro Cabeludo / Doenças do Cabelo Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Female / Humans Idioma: En Revista: Skin Res Technol Assunto da revista: DERMATOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dermatoses do Couro Cabeludo / Doenças do Cabelo Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Female / Humans Idioma: En Revista: Skin Res Technol Assunto da revista: DERMATOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido