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Last reviewed: 23.04.2024
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The coincidence of clinico-morphological diagnoses of rashes on smooth skin and scalp is a confirmation of the reliability of the established nosology. In those cases when the diagnoses do not coincide, it is necessary to find out what is caused. The reason for their discrepancy may lie in the erroneous definition of dermatosis that caused the condition of the pseudo-phelala, or in the patient's existence of two different dermatoses simultaneously. The latter is possible, but in practice it is rare.
In the absence of active manifestations of dermatosis in the region of the pseudo-pellet and other parts of the skin and visible mucous membranes, the observation of the patient in dynamics is shown. Repeated examinations, measurements and comparisons of the copies of the focus of atrophic alopecia (every 2-3 months) make it possible to identify manifestations that characterize the active stage of dermatosis (typical elements of the rash, hair changes, pseudo-pellet size increase, etc.).
Diagnosis of dermatosis, which caused the condition of the pseudo-pellet, allows the appointment of a comprehensive treatment taking into account specific indications and contraindications. When choosing a drug with a wide spectrum of action (aminoquinoline derivatives, retinoids, glucocorticosteroids, cytostatics, etc.), the doctor should always measure the real benefit and possible harm of the forthcoming therapy.
With a noticeable pseudo-phelala, it is recommended to model the hairstyle appropriately, wear a hairpiece or wig, and use other methods of camouflage. With reliable stabilization of skin disease in individual patients who are not satisfied with the methods of masking and who are not reconciled with a persistent cosmetic defect, surgical treatment is possible: autotransplantation of hair into the atrophic focus or its removal.
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