Cuellar BA, García LJA, González IM, Rodríguez RD, Cortés AAM, Harrsch GCM

Language: English
References: 5
Page: 198-200
PDF size: 213.32 Kb.

ABSTRACT

Telogen effluvium (TE) is a common form of non-scarring alopecia triggered by various stressors, including surgical procedures. Although TE has been reported after scalp surgeries, its occurrence following Mohs micrographic surgery (MMS) remains rarely documented. We report an 85-year-old woman who developed localized telogen effluvium three months after undergoing five-stage MMS for an infiltrative basal cell carcinoma of the left temporal scalp. Clinical examination revealed a sharply demarcated, non-scarring alopecic patch adjacent to the surgical scar. Trichoscopy demonstrated empty follicular ostia and short regrowing hairs without dystrophic changes. Treatment with oral minoxidil (1 mg daily) and topical 5% minoxidil twice daily resulted in complete hair regrowth by ten months after surgery. This case highlights the importance of recognizing TE as a self-limiting complication of scalp MMS and the potential benefit of combined minoxidil therapy.

REFERENCES

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