Pirmez Rodrigo, Tosti Antonella
Dermatology Department, Instituto de Dermatologia Professor Rubem David Azulay, Santa Casa de Misericórdia do Rio de Janeiro, Rua Visconde de Pirajá 330, sala 1001 22410-000, Rio de Janeiro, RJ, Brazil.
Department of Dermatology and Cutaneous Surgery, Miami Miller School of Medicine, University of Miami, 1295 NW 14th Street South Building Suites K-M, Miami, FL 33125, USA.
Dermatol Clin. 2018 Oct;36(4):413-420. doi: 10.1016/j.det.2018.05.008. Epub 2018 Aug 14.
Although trichoscopy has only recently been introduced in the assessment of hair and scalp disorders, it is already considered an essential diagnostic tool by many experts in the field. This article discusses topics that are often a source of doubt among clinicians, and tips that may help dermatologists better perform trichoscopy. Subjects include fundamental concepts needed to start performing the method, basic trichoscopic structures, tips to identify a scarring condition and to approach a patient with a receding hairline, features that are unique to children, those that are typically seen in the dark scalp, and pitfalls of the technique.
尽管毛发镜检最近才被引入用于评估毛发和头皮疾病,但它已被该领域的许多专家视为一种重要的诊断工具。本文讨论了临床医生经常感到疑惑的主题,以及可能有助于皮肤科医生更好地进行毛发镜检的技巧。主题包括开始实施该方法所需的基本概念、基本的毛发镜检结构、识别瘢痕性疾病和处理发际线后移患者的技巧、儿童特有的特征、黑头皮中常见的特征以及该技术的陷阱。