103例学龄期儿童拔毛癖皮肤镜表现  

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

作　　者：周曼娣 刘阳禾 朱冠男[1] 王胜春[1] ZHOU Mandi;LIU Yanghe;ZHU Guannan;WANG Shengchun(Department of Dermatology,Xijing Hospital,Fourth Military Medical University,Xi an 710032,China)

机构地区：[1]第四军医大学西京皮肤医院,陕西西安710032

出　　处：《中国麻风皮肤病杂志》2022年第7期447-451,共5页China Journal of Leprosy and Skin Diseases

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。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.

关 键 词：学龄期儿童 拔毛癖 皮肤镜 

分 类 号：R758.71[医药卫生—皮肤病学与性病学]