Congenital Atrichia With Papular Lesions: A Rare Cause of Irreversible Childhood Alopecia

    Tasleem Arif, Mohammad Adil, Syed Suhail Amin
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    Studysummary This case study highlights congenital atrichia with papular lesions as a cause of total body hair loss, characterized by the absence of hair follicles and the presence of skin-colored papules. Our plain-language summary of this paper — not a Tressless recommendation.
    Congenital atrichia with papular lesions (APL) was identified as a rare cause of irreversible childhood alopecia in a 9-year-old boy who exhibited sparse body hair and a history of hair loss shortly after birth. The presence of multiple skin-colored papules on the scalp and biopsy results showing keratinous cysts and absence of hair follicles confirmed the diagnosis. Vitamin D-dependent rickets was ruled out, emphasizing congenital APL as a distinct cause of total alopecia.
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