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.
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.
A 26-year-old male with strong family history of common baldness presented with hair loss involved most of the crown area of one year duration. A 1 mg finstaride orally p;us topical 5% minoxidil solution twice daily have been prescribed waiting the results.
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.
This 25-year-old female developed severe irritant contact dermatitis (burn-like picture) within few minutes of leaving a hair saloon after using high concentration of hydrogen peroxide to be complicated by severe bacterial infection and ended with scarring alopecia !!!
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 Ophiasiswhich usually considered as bad prognostic sign in alopecia areata (may resist treatment).
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.
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.