Triangular alopecia: Difference between revisions

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{{Short description|A type of non-scarring hair loss}}
{{Short description|A rare form of hair loss}}
{{Medical resources}}
{{Medical resources}}


'''Triangular alopecia''', also known as '''temporal triangular alopecia''' or '''congenital triangular alopecia''', is a condition characterized by a localized area of hair loss, typically occurring in the temporal region of the scalp. This condition is non-scarring, meaning that the hair follicles are not permanently damaged, and it is usually present from birth or early childhood.
'''Triangular alopecia''', also known as '''temporal triangular alopecia''' or '''congenital triangular alopecia''', is a rare, non-scarring form of [[hair loss]] that typically presents in childhood. It is characterized by a well-defined, triangular or oval patch of hair loss, usually located in the [[temporal region]] of the scalp.


==Presentation==
==Presentation==
Triangular alopecia is most commonly observed in children, although it can also be diagnosed in adults. The condition is usually unilateral, affecting only one side of the scalp, but bilateral cases have been reported. The affected area is typically devoid of hair, but may contain fine, vellus hairs. The skin in the affected region appears normal, without signs of inflammation or scarring.
[[File:Triangular_Alopecia.jpg|Triangular alopecia in a child|thumb|right]]
[[File:Triangular_Alopecia.jpg|Triangular alopecia in a child|thumb|right]]
Triangular alopecia typically presents as a well-defined, triangular or oval patch of hair loss on the scalp, most commonly located in the frontotemporal region. The affected area is usually devoid of hair, although some fine vellus hairs may be present. The skin in the area appears normal, without signs of inflammation or scarring.
The condition is often noticed in early childhood, but it can sometimes be identified later in life. It affects both males and females equally and is usually unilateral, although bilateral cases have been reported.


==Causes==
==Pathophysiology==
The exact cause of triangular alopecia is not well understood. It is believed to be a developmental anomaly rather than a genetic disorder, although some familial cases have been documented. The condition is not associated with any systemic diseases or other abnormalities.
The exact cause of triangular alopecia is not well understood. It is believed to be a developmental defect rather than a true form of alopecia. Some studies suggest a possible genetic component, as familial cases have been documented. The condition is not associated with systemic diseases or other dermatological conditions.


==Diagnosis==
==Diagnosis==
The diagnosis of triangular alopecia is primarily clinical, based on the characteristic appearance of the hair loss. A [[dermatologist]] may use a [[dermatoscope]] to examine the area more closely. In some cases, a [[skin biopsy]] may be performed to rule out other causes of hair loss, such as [[alopecia areata]] or [[tinea capitis]].
The diagnosis of triangular alopecia is primarily clinical, based on the characteristic appearance of the hair loss. A [[dermatologist]] may perform a [[trichoscopy]] to examine the hair and scalp more closely. A [[skin biopsy]] is rarely necessary but can be performed to rule out other causes of hair loss. The biopsy would typically show a normal number of hair follicles, with a predominance of vellus hairs.


==Treatment==
==Treatment==
Treatment for triangular alopecia is not always necessary, as the condition is benign and does not progress. However, for cosmetic reasons, some individuals may seek treatment options. These can include:
Treatment options for triangular alopecia are limited. In some cases, topical [[minoxidil]] may be used to stimulate hair growth, although its effectiveness is variable. Surgical options, such as hair transplantation, can be considered for cosmetic reasons, especially in older children and adults. The decision to treat is often based on the psychological impact of the condition on the patient.
 
* '''Topical minoxidil''': This medication can sometimes stimulate hair growth in the affected area.
* '''Surgical options''': Hair transplantation can be considered for those seeking a permanent solution.


==Prognosis==
==Prognosis==
The prognosis for individuals with triangular alopecia is excellent, as the condition is non-progressive and does not affect overall health. The main concern is cosmetic, and treatment is optional based on personal preference.
Triangular alopecia is a benign condition with no associated health risks. The hair loss is permanent, but it does not progress beyond the initial area. The prognosis is excellent in terms of overall health, but the cosmetic appearance can be distressing for some individuals.


==Related pages==
==Genetics==
* [[Alopecia areata]]
While the majority of cases are sporadic, there is evidence to suggest a genetic component in some instances. The condition has been observed in multiple members of the same family, suggesting an autosomal dominant pattern of inheritance.
* [[Hair loss]]
* [[Dermatology]]


==Genetic Considerations==
[[File:Autosomal_dominant_-_en.svg|Autosomal dominant inheritance pattern|thumb|left]]
[[File:Autosomal_dominant_-_en.svg|Autosomal dominant inheritance pattern|thumb|left]]
While triangular alopecia is not typically considered a genetic disorder, there have been reports of familial cases suggesting a possible genetic component. In such cases, an autosomal dominant pattern of inheritance has been proposed, although this is not definitively established.


==See also==
==Related pages==
* [[List of cutaneous conditions]]
* [[Alopecia areata]]
* [[Scalp conditions]]
* [[Androgenetic alopecia]]
* [[Scarring alopecia]]


[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Hair diseases]]
[[Category:Hair diseases]]
[[Category:Rare diseases]]

Revision as of 16:36, 5 March 2025

A rare form of hair loss



Triangular alopecia, also known as temporal triangular alopecia or congenital triangular alopecia, is a rare, non-scarring form of hair loss that typically presents in childhood. It is characterized by a well-defined, triangular or oval patch of hair loss, usually located in the temporal region of the scalp.

Presentation

Triangular alopecia is most commonly observed in children, although it can also be diagnosed in adults. The condition is usually unilateral, affecting only one side of the scalp, but bilateral cases have been reported. The affected area is typically devoid of hair, but may contain fine, vellus hairs. The skin in the affected region appears normal, without signs of inflammation or scarring.

File:Triangular Alopecia.jpg
Triangular alopecia in a child

Pathophysiology

The exact cause of triangular alopecia is not well understood. It is believed to be a developmental defect rather than a true form of alopecia. Some studies suggest a possible genetic component, as familial cases have been documented. The condition is not associated with systemic diseases or other dermatological conditions.

Diagnosis

The diagnosis of triangular alopecia is primarily clinical, based on the characteristic appearance of the hair loss. A dermatologist may perform a trichoscopy to examine the hair and scalp more closely. A skin biopsy is rarely necessary but can be performed to rule out other causes of hair loss. The biopsy would typically show a normal number of hair follicles, with a predominance of vellus hairs.

Treatment

Treatment options for triangular alopecia are limited. In some cases, topical minoxidil may be used to stimulate hair growth, although its effectiveness is variable. Surgical options, such as hair transplantation, can be considered for cosmetic reasons, especially in older children and adults. The decision to treat is often based on the psychological impact of the condition on the patient.

Prognosis

Triangular alopecia is a benign condition with no associated health risks. The hair loss is permanent, but it does not progress beyond the initial area. The prognosis is excellent in terms of overall health, but the cosmetic appearance can be distressing for some individuals.

Genetics

While the majority of cases are sporadic, there is evidence to suggest a genetic component in some instances. The condition has been observed in multiple members of the same family, suggesting an autosomal dominant pattern of inheritance.

Autosomal dominant inheritance pattern

Related pages