Congenital alopecia
ICD-10 Q84.0 is a billable code used to indicate a diagnosis of congenital alopecia.
Congenital alopecia refers to a group of conditions characterized by the absence of hair at birth or the failure of hair to develop normally. This condition can manifest in various forms, including total alopecia, where there is a complete absence of hair on the scalp and body, or localized forms affecting specific areas. Congenital alopecia can be associated with genetic syndromes, such as ectodermal dysplasia, which may also involve other ectodermal structures like teeth and sweat glands. The pathophysiology often involves genetic mutations that affect hair follicle development and function. Diagnosis is typically clinical, based on the observation of hair loss patterns and associated features. Genetic testing may be warranted in cases where a syndromic cause is suspected. Management may include cosmetic solutions, such as wigs or hairpieces, and addressing any associated conditions. Understanding the underlying genetic basis is crucial for prognosis and family counseling.
Documentation should include detailed descriptions of hair loss patterns, associated anomalies, and any interventions or referrals made.
A pediatric patient presenting with hair loss at birth, requiring evaluation for syndromic conditions.
Consideration of family history and potential genetic counseling needs.
Genetic testing results, family history, and any syndromic associations should be documented thoroughly.
A child with congenital alopecia undergoing genetic evaluation for ectodermal dysplasia.
Understanding the implications of genetic findings for family planning and management.
Used for follow-up visits in patients with congenital alopecia.
Document the reason for the visit, including any changes in condition or management.
Pediatricians should focus on growth and development assessments.
Congenital alopecia is present at birth and may be associated with genetic syndromes, while acquired alopecia develops later in life due to various factors such as autoimmune conditions, stress, or hormonal changes.
