All cases in Hair Disorders

Alopecia totalis

Alopecia totalis
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A teenager girl presented with alopecia totalis of one year duration with failure of many trials of topical therapeutic agents. She has been treated with monthly sessions of intralesional corticsteroids 5 mg/ ml. Hair regrowth started after first session and about 60-70 % of hair resumed after 3 sessions. However resumed hairs were of two colors black and gray.       

 

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Cicatricial alopecia

Cicatricial alopecia
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A 24-year-old female presented with patchy alopecia of three years duration. On examination, a large oval area of cicatricial alopecia  with small red slightly scaly papules at the periphery of the bald patch were seen. No other body areas were involved. Skin biopsy taken from the periphery of the bald patch showed changes consistent with discoid lupus erythematosus.

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Trichotillomania

Trichotillomania

A teenager girl presented with non-cicatricial alopecia involving large area of the scalp of 4 months duration. The patient’s mother hadn’t noticed a habit of hair pulling by her daughter while the patient her self admitted positive habit specially under psychological tension. The diagnostic feature on examination was that the hairs were cut at different levels of the scalp surface.

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Ophiasis

Ophiasis

A 12-year-old male presented with two non-cicatricial patches of hair loss of 3 months duration. Confinement of hair loss to marginal scalp areas (near hair line) is termed Ophiasis which usually considered as bad prognostic sign in alopecia areata (may resist treatment).

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Trichotillomania

Trichotillomania

History

          A 25-year-old female suffered bad social and psychological circumstances presented for non-scarring alopecia localised mainly to the crown area of the scalp. On examination, the hairs were broken at different levels from the surface of the scalp.
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Trichotillomania

Trichotillomania

History

          A 62-year-old woman presented with a diffuse non-scarring alopecia involved the frontal and parietal regions of the scalp of more than one year duration. Hairs were cut at different levels from the scalp surface in the involved area. The patient denied any habit of hair pulling under normal or stressful circumstances.
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