We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Feature |

Picture of the Month FREE

Lisa N. Gelles, MD
[+] Author Affiliations

From the Division of Dermatology, Children's Medical Center, and the Section of Dermatology, Department of Medicine, Wright State University School of Medicine, Dayton, Ohio.

Section Editor: W. Tunnessen Walter, MD

Arch Pediatr Adolesc Med. 1999;153(6):647. doi:10.1001/archpedi.153.6.647.
Text Size: A A A
Published online

A 4-YEAR-OLD girl had poor hair growth since birth. At birth her hair was coarse and kinky, and it fell out when she was 8 weeks old. Within months, some hair grew on her central scalp; however, she remained bald in the occipital and temporal areas for more than 1 year. By 2 years of age she had brittle hair of variable lengths throughout her scalp. Hairs were shortest in areas of greatest friction, and her mother noted that they broke easily even with gentle handling. The child required few haircuts.

With the exception of recurrent otitis media, she was otherwise healthy. There was no known family history of problems with the hair or skin. The child's growth and development were normal. Hearing evaluations revealed no abnormal findings.

On physical examination, she seemed healthy and had blonde hair that shimmered in reflected light. Her hair was coarse, fragile, and ranged in length from approximately 1 to 7 cm. Broken hairs were most prominent in the occipital region (Figure 1). Her eyebrows were sparse. Her nails, teeth, eyes, and skin were normal. Light microscopic examination of cut hairs from the child's scalp was performed (Figure 2 and Figure 3).




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles