中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (7): 447-451.doi: 10.12144/zgmfskin202207447

• 论著 • 上一篇    下一篇

103例学龄期儿童拔毛癖皮肤镜表现

周曼娣,刘阳禾,朱冠男,王胜春   

  1. 第四军医大学西京皮肤医院，陕西西安,710032
  • 出版日期:2022-07-15 发布日期:2022-05-17

Characteristics of dermoscopic images in 103 school-age children with trichotillomania

ZHOU Mandi, LIU Yanghe, ZHU Guannan, WANG Shengchun   

  1. Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China
  • Online:2022-07-15 Published:2022-05-17

PDF (PC)

196

摘要： 目的：总结学龄期儿童拔毛癖患者皮肤镜表现。方法：回顾性研究2017年6月至2021年6月于我院诊治的103例拔毛癖患者临床资料。结果：103例患者中，男51例，女52例，平均年龄(10.20±2.75)岁。拔发部位位于头顶部（48.5%），单侧颞部（28.2%），双侧颞部（15.5%），额部（20.4%），枕部（5.8%）和眉部（2.9%）。皮肤镜特点有黑点征（95.1%），断发（71.8%），火焰状发（56.3%），点状出血（48.5%），猪尾样发（35%），毛发前端卷曲（27.2%）和枪刺样发（3.9%）。结论：学龄期儿童拔毛癖患者发病部位多位于头顶部，皮肤镜特点主要表现为黑点征、断发、火焰状发、点状出血以及猪尾样毛发。

关键词: 学龄期儿童, 拔毛癖, 皮肤镜

Abstract: Objective: To summarize the characteristics and dermoscopic images of school-age children with trichotillomania. Methods: The data of 103 patients with trichotillomania in our hospital from June 2017 to June 2021 were collected and analyzed retrospectively. Results: Of 103 patients, 51 were male and 52 were female, with an average age of 10.20 ± 2.75 years. The hair loss were on the crown of the head  (48.5%), unilateral temporal (28.2%), bilateral temporal  (15.5%), frontal (20.4%), occipital (5.8%) and eyebrows (2.9%). Dermoscopic features included black dots (95.1%), broken hair (71.8%), flame hair 58 (56.3%) , blood spots (48.5%) , pigtail-like hair (35%), coiled hairs (27.2%),and spear-like hair (3.9%). Conclusion: The most common site of trichotillomania is the crown of the head and the common dermoscopic characteristics of school-age children with trichotillomania are black spot sign, broken hair, flame hair, blood spots, and pigtail-like hair.

Key words: school-age children, depilation, dermoscopy