Occipital Fibrosing Alopecia in a Young Male: A Case Report

The document described an unusual case of fibrosing alopecia in a 26-year-old Caucasian male, who exhibited scarring alopecia on the occipital scalp, diverging from the common frontotemporal presentation in postmenopausal women. The patient, who had a history of androgenetic alopecia and scalp folliculitis, was diagnosed with a Lichen planopilaris (LPP)-spectrum disorder through trichoscopy and biopsy. The case underscores the importance of recognizing atypical manifestations of fibrosing alopecia, suggesting a potential new clinical variant within the LPP spectrum. Treatment with topical clobetasol and oral hydroxychloroquine resulted in a partial response after 6 months, and the document calls attention to the diagnostic challenges of atypical LPP variants, leaving open the question of whether this represents a new entity within the disorder spectrum.