End Stage Nonspecific Group

The document described a case of a 45-year-old man who experienced extensive asymptomatic hair loss on the top of his scalp, following a history of patchy hair loss diagnosed as lichen planopilaris 10 years prior. Initially, he was treated with hydroxychloroquine and intralesional triamcinolone acetonide but was lost to follow-up. Upon his return, he exhibited complete hair loss with no follicular markings or clinical inflammation, and a new scalp biopsy was performed. The case highlighted the progression of cicatricial alopecia and the challenges in diagnosing and managing such conditions over time.