Pediatric Trichology — Hair Care for Children

Patchy hair loss in children is most commonly alopecia areata (autoimmune) or tinea capitis (fungal infection) — both highly treatable. It is important to see a specialist promptly because these conditions look similar but require completely different treatments. Dr. More differentiates them accurately using trichoscopy at the first visit.

Not necessarily. For limited alopecia areata in children, the prognosis for significant regrowth is generally favourable with appropriate treatment. Extensive alopecia totalis has a less predictable course. Dr. More gives an honest prognosis based on clinical and trichoscopic findings.

Yes — tinea capitis requires systemic antifungal treatment. Topical antifungals alone are insufficient as the fungus invades the hair shaft. Griseofulvin or terbinafine for 6–12 weeks is standard. Family members should be screened for asymptomatic carriage.

Yes. Iron deficiency is particularly common — especially in girls with heavy menstrual loss in adolescence and children on restricted diets. Vitamin D, zinc, and protein deficiencies also contribute. Targeted blood tests will identify any deficiency, correctable with dietary modification and supplementation.

Hair pulling in toddlers is often a self-soothing behaviour that may resolve with gentle redirection. In older children it can reflect anxiety or stress. Dr. More evaluates the pattern of hair loss, assesses trichoscopic features, and advises on management including psychological referral where appropriate.

GFC and PRP are generally reserved for adolescents (typically 16+) with significant alopecia. For most paediatric hair conditions, safer first-line treatments are prioritised before considering injectable therapy.