Abstract
A 45-year-old man presents with extensive asymptomatic hair loss affecting most of the top of his scalp. Ten years earlier, he was seen by a dermatologist for patchy hair loss and he remembers having much pain and itching. Scalp biopsy at that time showed lichen planopilaris. His treatment included hydroxychloroquine 200 mg twice daily and intralesional triamcinolone acetonide. He was lost to follow up until his current visit. Scalp examination at the present time shows complete, confluent hair loss over the entire top of his scalp with absence of follicular markings and absence of any clinical inflammation (Fig. 9.1). Currently, there is no clinical clue regarding the diagnosis of his original patchy hair loss. A scalp biopsy is taken.
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Suggested Reading
Headington JT. Cicatricial alopecia. Dermatol Clin. 1996;14:773–82.
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Price, V., Mirmirani, P. (2011). End Stage Nonspecific Group. In: Price, V., Mirmirani, P. (eds) Cicatricial Alopecia. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8399-2_9
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DOI: https://doi.org/10.1007/978-1-4419-8399-2_9
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