Multifocal Alopecia of the Scalp, Axillae, and Body

    May 2024 in “ JAAD Case Reports
    Fabiola Moreno Echevarria, Claudia S Roldan, Alyce Anderson, Jennifer Shastry
    Studysummary This case report describes a 29-year-old man with a year-long non-itchy skin eruption and hair loss, with distinct papules and plaques across his scalp, beard, body, and suprapubic regions, but no systemic symptoms or family history of autoimmune disease.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 29-year-old man was diagnosed with Graham-Little-Piccardi-Lasseur syndrome (GLPLS), a variant of lichen planopilaris, characterized by multifocal cicatricial alopecia of the scalp, nonscarring alopecia of the axillae and/or groin, and keratotic follicular papules on the trunk and extremities. The diagnosis was supported by histologic findings, which included perifollicular lymphocytic infiltrate and follicular dilatation. Topical steroids are considered first-line treatment for GLPLS, although complete remission is rare. The condition is more common in postmenopausal females, but this case highlights its occurrence in a young male.
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