Lipedematous Scalp with Lipedematous Alopecia: A Case Report
May 2021
in “
Our Dermatology Online
”
lipedematous scalp lipedematous alopecia subcutaneous fat layer hair loss hormonal factors genetic factors trichoscopic findings histopathological findings radiological findings intralesional triamcinolone injection scalp thickening fat layer thickening hair thinning hormones genes scalp examination skin biopsy scalp imaging steroid injection
TLDR A woman with a rare scalp condition causing a thick scalp and hair loss didn't improve with steroid treatment.
The document is a case report of a 40-year-old female patient with lipedematous scalp and lipedematous alopecia, rare skin disorders characterized by a thickening of the subcutaneous fat layer, resulting in a thick, spongy scalp and varying degrees of hair loss. The patient presented with a boggy swelling on her scalp and a patch of hair loss. The exact cause of these conditions remains unclear, but hormonal and genetic factors, as well as the use of tight headgear, have been implicated. The diagnosis was made based on clinical features, trichoscopic, histopathological, and radiological findings. No concrete and successful treatment option exists for lipedematous scalp and lipedematous alopecia. The patient was given a trial of intralesional triamcinolone injection, but showed no signs of improvement. Further clinical evidence is needed to reach a consensus for treatment.
