Work

Tick‐Bite Alopecia of the Scalp in a Child: Case Report and Differential Diagnosis With Alopecia Areata and SENLAT

Year: 2025

Type: article

Abstract: Learning Points Bite‐centred anatomy (tiny eschar or atrophic papule with a narrow, active rim) is the most practical discriminator of tick‐bite alopecia in children. Trichoscopic signs overlap with alopecia areata; they must be interpreted anatomically—rim‐restricted AA‐like signs around a bite centre favour tick‐bite alopecia. Ipsilateral tender cervical lymphadenopathy with a scalp eschar suggests SENLAT and warrants empiric doxycycline; its absence supports conservative dermatologic management. A short course of high‐potency topical corticosteroid is usually sufficient; biopsy is reserved for atypical, non‐resolving or scarring‐prone plaques. Continued follow‐up is recommended to detect rare progression to an AA‐like effluvium and to escalate care accordingly.

Source: Journal of Paediatrics and Child Health

DOI: 10.1111/jpc.70282

Authors: Diego Abbenante, Davide Bertolla, Miriam Anna Carpanese, Alessandro Borghi, Michela Tabanelli, Michela Starace

Institutions: Ospedale "Santa Maria delle Croci" di Ravenna, University of Ferrara, IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola, University of Bologna

Language: English

Topic: Hair Growth and Disorders

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W7117879412

FWCI:

Cites: 8

Cited by:

Related to: