Hair loss, or alopecia, isn’t just a problem for adults. Hair loss in children is responsible for an estimated 3% of pediatric office visits in the U.S. Whether your child has thinning hair or distinct bald spots, the loss of hair can be frightening. The good news is that, with a proper diagnosis, most cases of hair loss can be treated successfully.
Medical Causes of Hair Loss in Children
For the majority of children 26 months or older suffering hair loss, one of the following conditions isthe cause. Your child’s pediatrician or a pediatric dermatologist should be able to diagnose these conditions and prescribe the appropriate treatment. Tinea capitis, commonly known as ringworm of the scalp, is a fungal infection often seen in children. It can show up in a number of ways, but often as scaly patches of hair loss on the head. The patches are usually round or oval. The hairs may be broken off at the surface of the skin and look like black dots on the scalp.
If your child’s doctor suspects tinea capitis, a microscopic examination can confirm the diagnosis. Treatment usually involves an oral anti-fungal, such as grise of ulvin taken by mouth for eight weeks. Your child should also use an anti-fungal shampoo such as selenium sulfide or ketoconazole to decrease shedding of the fungus. Because ring worm is contagious, your child should be careful not to share any objects that touch the head such as hats, pillow cases, hair clippers, or brushes.
Alopecia areata is a non-contagious condition of hair loss thought to be caused by the body’s immune system attacking the hair follicles. It is characterized by the sudden appearance of round or oval patches of hair loss. The patches are slick or smooth, without scaling or broken hairs. About 25% of children also have pitting and ridging of the nails.
While there is no cure for alopecia areata, treatment can control the disease in some children. Many have their hair back within a year, although regrowth is unpredictable and many will lose hair again. For about 5% of children the disease progresses to alopecia total is — loss of all of the hair on the scalp. Some of these will develop alopecia universal is — a total loss of body hair. Trichotillomania (the habit of twisting or pulling hair out), Onset of this disorder tends to begin around the onset of puberty and usually continues through adulthood. Due to the constant extraction of the hair roots, permanent hair loss can occur.