Striae Distensae Over Scalp: A Trichoscopic Revelation

    April 2018 in “ Our Dermatology Online ”
    Subrata Malakar, Priya Diwaker
    Image of study
    TLDR Trichoscopy can detect early signs of steroid overuse on the scalp, suggesting a need for non-steroidal treatments.
    The document discussed the occurrence of striae distensae, or stretch marks, on the scalp, which were identified through trichoscopy in patients using topical steroids. Three cases were reported: a 35-year-old female with alopecia areata, a 17-year-old male with patchy hair loss, and a 28-year-old female with female pattern hair loss. All exhibited signs of steroid misuse, such as telangiectasia and linear atrophic bands. The study highlighted the importance of trichoscopy as a diagnostic and monitoring tool to detect early signs of steroid overuse, suggesting that treatment options may need to be revised to non-steroidal medications to prevent further dermal damage.
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