Loose Anagen syndrome | Medtick

Loose Anagen syndrome

What is it?

Loose anagen syndrome (LAS) is a benign, diffuse nonscarring alopecia (it is not associated with a sequela of scarring alopecia) hair disorder where hair is not properly anchored in the scalp as a result hair can be easily and painlessly pulled out.

  • It is most common in (fair-haired blonde) children, but can affect anyone
  • Mean age of onset of 2 to 6 years.
  • Although girls are more commonly affected than boys, (ratio 6:1 to 36:1), the syndrome may be underdiagnosed in boys because of their traditionally shorter hairstyles.
  • This condition improves with age (normally up to ages 8-9 years but can be a late as 14 years old), especially by adulthood or adolescence, however some still show symptoms of hair loss.
  • It is not due to bacterial and/or fungal infections.

Diagnosis Test

  • Hair pull test
  • Trichogram (microscopic examination) – it will show distorted anagen hair bulb with ruffled cuticle.
  • More information
Most patients and families with LAS can be treated with reassurance and education about LAS, emphasizing that this disease is self-limited in the majority of patients.

Cause

  • Inherited condition (autosomal dominant pattern) but can be sporadic
  • Mutations in specific keratins (like KRT71) have been implicated
  • Keratin mutations, including the K6IRS1 gene located in the inner root sheath, could also play a role.
  • Mutations in the K6HF gene, found in the outer root sheath companion layer.

Syndromes

  • Diffuse or partial wooly hair syndrome,
  • Ectrodactyly-ectodermal dysplasia clefting syndrome
  • Hypohidrotic ectodermal dysplasia
  • Nail patella syndrome
  • Noonan syndrome
  • Ocular coloboma syndrome
  • Trichorhinophalangeal syndrome

Dermatogy Advisor

Symptoms

  • Hairs that can be easily and painlessly pulled from the scalp?
  • Diffuse hair thinning or sparse hair?
  • Unruly or texture anomalies like ragged, frizzy, and unmanageable, unruly hair that will not lie flat and/or “bed head” hair texture?
  • Appearance that hair does not grow long, though it is actually shedding too quickly?

Complications /Information to beware of/General tips:

This condition may lead to:


Treatment

  • There are scalp treatments which may help (not immunosuppressants and corticosteroids as this condition is not an autoimmune disease or an inflammation condition).
  •  Biotin (vitamin B7) may help with short anagen syndrome but not Long anagen syndrome.

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

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