Centrifugal Lipodystrophy of the Scalp Manifesting as Centrifugal Lipodystrophic Alopecia

    Kazutoshi Harada, Tatsuo Maeda, Jun Matsubayashi, M Uchiyama, Ryokichi Irisawa, K. G. Go, Ryoji Tsuboi
    TLDR Reversible hair loss in a ring pattern on the scalp may be linked to changes in leptin levels in fat tissue.
    The document described a rare case of centrifugal lipodystrophy (CLD) of the scalp in a young East Asian patient, which led to reversible hair loss in a ring-shaped pattern. The hair loss expanded outward while the central area showed regrowth. Immunohistochemical analysis revealed reduced leptin expression in inflamed adipose tissue, which is linked to the anagen phase of hair growth. Recovery of leptin expression was noted in healed areas, suggesting that changes in leptin expression in adipose tissue might cause reversible hair loss.
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