Scarring Alopecias in a Pediatric Trichology Clinic at a Tertiary Care Center

The study conducted at a pediatric trichology clinic in Monterrey, Mexico, reviewed 226 patients under 16 years diagnosed with alopecia, identifying 24 cases (10.6%) of scarring alopecia, predominantly in males. Dissecting cellulitis was the most common form, accounting for 58% of cases. The average time from onset to diagnosis was approximately 11 months, with symptoms like pruritus and pain reported by 45% of patients. Biopsy was necessary for diagnosis in 20% of cases. Low-dose isotretinoin showed favorable outcomes, achieving partial or complete remission in most patients. The study highlights the need for more research and the development of safe, effective treatments for pediatric scarring alopecia, as many adult therapies are not approved for children.