Bilateral Temporal Triangular Alopecia Simulating Male Pattern Androgenetic Alopecia in an Adult Woman: Case Report and Literature Review

    January 2025 in “ Surgical & Cosmetic Dermatology
    Marcelo Balbinot Lucca, Laura Oliveira Ferreira, Ana Letícia Boff, Rodrigo Vettorato
    TLDR Temporal triangular alopecia causes permanent hair loss and can be managed with treatments like minoxidil or hair transplantation.
    This document discusses a case study of a 27-year-old woman with bilateral temporal triangular alopecia (ATT), a rare form of permanent hair loss that is often misdiagnosed due to its resemblance to other alopecias. The condition, which started at age 7, features triangular alopecia patches in the temporal regions without scarring or inflammation. Diagnosis was confirmed through dermoscopy and histopathology, revealing vellus follicles and intact sebaceous glands. While there is no definitive treatment, options like topical minoxidil, hair transplantation, or surgical excision may be considered. The study underscores the importance of accurate diagnosis to avoid confusion with other conditions and calls for more research on treatment efficacy.
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