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letter
. 2020 Nov 24;35(3):e167–e168. doi: 10.1111/jdv.16989

Table 1.

Summary of appropriate teletrichology clinical evaluations that can be completed during hair disorder consult

Hair condition Teletrichology visit evaluations Instrument Instrument findings
Telogen effluvium

Pull test

Hair shedding

Ponytail measure

Macro‐imaging app/handheld microscope Lack of hair shaft variability
Alopecia areata

Pull test

SALT

PGA

Macro‐imaging app

Yellow dots

Broken hairs

Exclamation mark hairs

Androgenic alopecia

Pull test

Hair shedding

Ponytail measure

Macro‐imaging app/handheld microscope Hair shaft variability
FFA § Measure hairline distance from glabella Macro‐imaging app/handheld microscope Absence of vellus hair
CCCA Clinical pattern suggests diagnosis Macro‐imaging app/handheld microscope Hair shaft variability
Other scarring alopecias Patchy alopecia Macro‐imaging app/handheld microscope Absence of follicular openings and peripilar casts

Type of instrument patient can use remotely and findings that can be seen in each disorder. Additionally, recommendations on telemedicine or in‐person follow‐up and treatment have been provided.

CCCA, central centrifugal cicatricial alopecia; FFA, frontal fibrosing alopecia; PGA, Physician Global Assessment score; SALT, severity of alopecia score.

Treat and follow up with telemedicine. ‡Treat and follow up with telemedicine except for patients requiring intralesional corticosteroid treatment. §You can diagnose and follow up with telemedicine, in‐person visit only required to confirm diagnosis with biopsy at first visit. ¶Need to see in person for biopsy and procedures.