Image Based Question – 72073


An otherwise healthy 8-year-old boy presented with a 3-month history of a bald patch on the scalp nonresponsive to empiric treatment with oral and topical antifungals. The child was living with his grandmother while his parents, immigrants in another country, had a conflicting relationship and were divorcing.
Scalp dermoscopy revealed decreased hair density, broken hairs with different shaft lengths, short vellus hairs, black dots, signs of recent hemorrhage, and absence of exclamation mark hairs.
All of the following treatments are useful for this disorder except:


B. Cognitive Behavioural Therapy

C. Electroconvulsive Therapy

D. Shaving/Clipping Hair close to scalp


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