Clinico-Epidemiological Study of Scalp Dermatosis at Tertiary Care Centre in Central India

Rumana Khan; Shyam Govind Rathoriya; Rochit Singhal; Sandeep Sharma; Ajay Kumar Dhurve

doi:10.55489/njmr.150220251049

Authors

Rumana Khan Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, India
Shyam Govind Rathoriya Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, India
Rochit Singhal Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, India
Sandeep Sharma Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, India
Ajay Kumar Dhurve Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, India

DOI:

https://doi.org/10.55489/njmr.150220251049

Keywords:

Scalp dermatoses, Alopecia, Psoriasis, Autoimmune Conditions, Pruritus

Abstract

Background: The human scalp, with its high follicular density and significant sebum production, is uniquely susceptible to a various dermatological condition. Common scalp disorders, including seborrheic dermatitis, psoriasis, tinea capitis, scalp folliculitis, and allergic contact dermatitis, each present with overlapping symptoms such as pruritus, scaling, inflammation, and hair loss, complicating accurate diagnosis and treatment. While global awareness of the impact on personal appearance and social interactions is increasing, research specifically focusing on scalp dermatoses in India remains limited.

Methods and materials: This hospital-based observational study, conducted over one year (from September 2023- august 2024) with Institutional Ethics approval, aimed to investigate scalp dermatoses in patients from the Dermatology Outpatient Department. All patients with scalp disorders were included after informed consent, with a detailed history and physical examination conducted.

Results: The study included 152 patients with scalp dermatoses, consisting of 90 males (59.2%) and 62 females (40.8%). The most affected age group was 21-30 years, accounting for 51.31% of cases (n=78). The parietal region was the most frequently affected area, seen in 64.4% of cases. Among the various scalp dermatoses, autoimmune conditions were the most prevalent (28.93%), with alopecia areata being the most common (22.36%).

Conclusion: Scalp dermatoses are common and can significantly impact physical and mental health, lowering self-esteem and quality of life. Conditions like dandruff and alopecia cause visible changes, leading to emotional distress. This study highlights the need for accurate diagnosis and treatment to address both the physical and psychological aspects of these conditions.

References

Liao W, Vender RB. Scalp dermatology: An overview of common conditions and management. J Dermatol Treat. 2023;34(2):89-101.

Smith RS, et al. Prevalence of scalp conditions in adults: A survey study. Dermatol Res Pract. 2022;2022:943869.

Wright K, et al. The psychological impact of scalp disorders: A review. Int J Dermatol. 2024;63(1):15-22.

Sharma P, Singh A. Environmental and socioeconomic factors influencing dermatological conditions in central India. Indian J Dermatol. 2023;68(4):323-30.

Verma R, et al. Regional variations in dermatological conditions: Insights from central India. Indian Dermatol Online J. 2022;13(3):450-6.

Aravamuthan R, Vadivelu S, Arumugam S, MM J. An overview of scalp dermatoses in a tertiary care institute. Int J Res Dermatol. 2020 Apr 21;6(3):304. DOI: https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20201575 DOI: https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20201575

Kalam S, Betkerur J, Ranugha P, Shastry V. Scalp dermatoses: The patterns and impact on quality of life. J Pak Assoc Dermatol. 2023 Aug 7;33(3):964-71.

Pillai J, Okade R. A clinical spectrum of scalp dermatoses in adults presenting to a tertiary referral care centre. Int J Biol Med Res. 2014;5(4):4434-9.

Achar A, Rathi SK, Kumrah L, Biswas R, Bisai S. Clinico-epidemiological study of alopecia areata. J Pak Assoc Dermatol. 2018 Dec 13 [cited 2024 Nov 28];28(2):168-74. Available from: https://www.jpad.org.pk

Bhat YJ, Zeerak S, Kanth F, Yaseen A, Hassan I, Hakak R. Clinicoepidemiological and mycological study of tinea capitis in the pediatric population of Kashmir valley: A study from a tertiary care centre. Indian Dermatol Online J. 2017;8:100-3. DOI: https://doi.org/10.4103/2229-5178.202279 PMid:28405548 PMCid:PMC5372428 DOI: https://doi.org/10.4103/2229-5178.202279

Jain S, Mahalakshmi K. A clinical study to assess the effect of Priyaladi lepa in Darunaka (Pityriasis capitis). J Indian Syst Med. 2023;11(2):78-84. DOI: https://doi.org/10.4103/jism.jism_103_22 DOI: https://doi.org/10.4103/jism.jism_103_22

Bhardwaj S, Peter D, George L, George AA, Mahabal GD, Pulimood S, et al. Clinical and trichoscopic patterns of discoid lupus erythematosus of scalp in patients with systemic lupus erythematosus: An observational study. Indian J Dermatol. 2024 Aug 17. DOI: https://doi.org/10.4103/ijd.ijd_514_23 PMid:39896309 PMCid:PMC11784978 DOI: https://doi.org/10.4103/ijd.ijd_514_23

Mahmoudi H, Salehi M, Moghadas S, Ghandi N, Teimourpour A, Daneshpazhooh M. Dermoscopic findings in 126 patients with alopecia areata: A cross-sectional study. Int J Trichol. 2018 May-Jun;10(3):118-23. DOI: https://doi.org/10.4103/ijt.ijt_102_17 PMid:30034191 PMCid:PMC6028992 DOI: https://doi.org/10.4103/ijt.ijt_102_17

Kasumagic-Halilovic E. Trichoscopic findings in androgenetic alopecia. Med Arch. 2021 Apr;75(2):109-11. DOI: https://doi.org/10.5455/medarh.2021.75.109-111 PMid:34219869 PMCid:PMC8228579 DOI: https://doi.org/10.5455/medarh.2021.75.109-111

Kibar M, Aktan & Bilgin M. Dermoscopic findings in scalp psoriasis and seborrheic dermatitis; Two new signs: Signet ring vessel and hidden hair. Indian J Dermatol. 2015;60:41-5. DOI: https://doi.org/10.4103/0019-5154.147786 PMid:25657395 PMCid:PMC4318061 DOI: https://doi.org/10.4103/0019-5154.147786

El-Taweel AE, El-Esawy F, Abdel-Salam O. Different trichoscopic features of tinea capitis and alopecia areata in pediatric patients. Dermatol Res Pract. 2014;2014:848763. DOI: https://doi.org/10.1155/2014/848763 PMid:25024698 PMCid:PMC4082839 DOI: https://doi.org/10.1155/2014/848763

Ankad BS, Naidu MV, Beergouder SL, Sujana L. Trichoscopy in trichotillomania: A useful diagnostic tool. Int J Trichol. 2014 [cited 2020 Jul 31];6(4):160-3. DOI: https://doi.org/10.4103/0974-7753.142856 PMid:25368471 PMCid:PMC4212291 DOI: https://doi.org/10.4103/0974-7753.142856

Gowda S, Errichetti E, Thakur V, Panda M, Dash S, Agarwal A, et al. Trichoscopic features of scalp discoid lupus erythematosus versus lichen planopilaris: A systematic review. Clin Cosmet Investig Dermatol. 2024 Apr 1;17:805-27. DOI: https://doi.org/10.2147/CCID.S460742 PMid:38616887 PMCid:PMC11015838 DOI: https://doi.org/10.2147/CCID.S460742

Thakur BK, Verma S, Raphael V. Clinical, Trichoscopic, and Histopathological Features of Primary Cicatricial Alopecias: A Retrospective Observational Study at a Tertiary Care Centre of North East India. Int J Trichology. 2015 Jul-Sep;7(3):107-12. DOI: https://doi.org/10.4103/0974-7753.167459 PMid:26622153 PMCid:PMC4639953 DOI: https://doi.org/10.4103/0974-7753.167459

Tayyebi Meibodi N, Asadi Kani F, Nahidi Y, Bordbar Azari J, Sadeghian H. Lichen Planopilaris: Histopathological Study of Vertical Sec-tions of Scalp Biopsies in 44 Patients. Iran Red Crescent Med J.2012;14(8):501-2.