Four Patients Had a History of One Episode Each in The Past and None Had Any Family History (n=24) Clinical Findings Number % of Total Site Eye Brow 1 Multiple Scalp 22 parameters Beard 3 included Other 1 Universalis 1 4 Pattern Totalis 1 4 Focal (patch) 19 79 Ophiasis
3 13 No.
, totalis, and universalis forms are rarer and have worse prognoses (1).
* Alopecia areata may mimic the ophiasis
(band-like) pattern of hair loss seen with FFA, but it is a non-scarring disorder that typically lacks any signs of inflammation.
One form of alopecia is the ophiasis
pattern in which there is a long band passing above the ear, occurring in 5% of child hood cases.
Another form of alopecia is the ophiasis
pattern in which there is a long band passing above the ear, occurring in 5% of childhood cases.
Alopecia areata is a chronic, nonscarring alopecia with variety of patterns of patchy hair loss, diffuse alopecia, alopecia totalis and universalis, ophiasis
. Many other conditions like tinea capitis, trichotillomania, secondary syphilis, androgenetic alopecia or telogen effluvium can present with nonscarring alopecia.1-3 Trichoscopy is a noninvasive method for image analysis of hair and scalp.
Type of AA: In the present study most common type of AA is patchy type 73%, followed by ophiasis
in 7%, sisaphio in 7%, totalise in 4%, universalise in 3%, reticulate in 3%, diffuse in 3% of cases which were comparable to Thomas et al.
Based on the pattern, patchy AA was most commonly seen, followed by ophiasis
Majority (89%) of the patients had patchy type of AA, 6% had reticulate pattern and 4% had ophiasis
Scalp is the most common affected site.4 Alopecia areata can be classified according to its pattern, as follows: patchy, reticular, ophiasis
, sisaipho, alopecia totalis and alopecia universalis.
The clinical response of 2 (4%) patients with ophiasis
pattern was good.
Alopecia areata peaks between the second and fourth decades with equal sex incidence.Clinical patterns of alopecia areata include patchy, confluent, diffuse, ophiasis
, alopecia totalis and alopecia universalis.1,2,3It may occur as a single, self-limiting episode or may recur at varying intervals over many years.34-50% of patients will recover within one year and 14-25% will progress to alopecia totalis or universalis.2 The predisposition to alopecia areata is genetically determined.1 Between 10% and 20% of patients give a family history of the disease.