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2012, Number 4

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Med Cutan Iber Lat Am 2012; 40 (4)

Diffuse alopecia areata: an atypical form often misdiagnosed

Dias PSF, Lisboa MAC, Chehin CV, Sandin J, Farias VRC
Full text How to cite this article

Language: Portugu?s
References: 5
Page: 117-119
PDF size: 77.38 Kb.


Key words:

Alopecia areata, alopecia, effluvium.

Text Extraction

Alopecia areata is an autoimmune inflammatory disease of multifactorial aetiology, manifested in genetically predisposed individuals, which affects the hair follicle. It can be classified in several ways, one being called atypical diffuse. This form is perhaps the most difficult to diagnose because of the difficulty in differentiating it from androgenetic alopecia and telogen effluvium.
The rarity of presentation and the difficulty of diagnosis and treatment of our patient —a 16 years-old male—, which reports the presence of diffuse thinning hair, no scar that started 3 years ago. He was treated for androgenetic alopecia with no improvement, and just after biopsy the diagnosis of this form of alopecia areata was confirmed. For that, is necessary the exclusion of other diseases such as androgenic alopecia, telogen effluvium, syphilis and lupus erythematosus. trials with long-term results to help patients with this atypical form of alopecia areata.


REFERENCES

  1. Messenger AG. Disorders of Hair – alopecia - Rook’s Textbook of Dermatology, Blackwell Sc Pub. 2010. Cap 66.

  2. Rivitti E. Alopecia areata: revisão e atualização. An Bras Dermatol 2005; 80: 57-68.

  3. Kumaresan M. Intralesional steroids for alopecia areata. Int J Trichology 2010; 2: 63-5.

  4. Alkhalifah A, Alsantali A, Wang E, McElwee KJ, Shapiro J. Alopecia areata update: part I. Clinical picture, histopathology, and pathogenesis. J Am Acad Dermatol 2010; 62: 177-88, quiz 189-90.

  5. Harrison S, Bergfeld W. Diffuse hair loss: its triggers and management. Cleve Clin J Med 2009; 76: 361-7.




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C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2012;40