Patterned Hair Loss: A 47-Year-Old Man With Symmetrical Hair Loss and Itching Diagnosed With Fibrosing Alopecia in a Pattern Distribution

January 2022 in “ Clinical Cases in Dermatology ”

Shashank Bhargava, Antonellá Tosti

Studysummary This case report describes a 47-year-old man diagnosed with fibrosing alopecia in a pattern distribution, treated with clobetasol propionate and oral minoxidil while advised to avoid hair transplantation.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

A 47-year-old man presented with symmetrical hair loss and itching, diagnosed as fibrosing alopecia in a pattern distribution (FAPD) through trichoscopy and biopsy. The biopsy showed a lymphohistiocytic infiltrate and interface dermatitis. He was advised to use clobetasol propionate solution and oral minoxidil, and to avoid hair transplantation due to the risk of koebnerization.

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research Fibrosing Alopecia in a Pattern Distribution

30 citations , January 2020 in “Journal of The American Academy of Dermatology”

This review reports no new clinical results but discusses fibrosing alopecia in a pattern distribution as a distinct scarring alopecia with characteristics of both androgenetic alopecia and lichen planopilaris.

research Off-Label Use of Topical Minoxidil in Alopecia: A Review

32 citations , January 2019 in “American Journal of Clinical Dermatology”

This review discusses the use of topical minoxidil for various types of alopecia and reports mixed evidence on its efficacy, with stronger support noted for conditions like eyebrow hypotrichosis and chemotherapy-induced alopecia.

research Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study

56 citations , January 2019 in “Skin appendage disorders”

In this multicenter study, androgenetic alopecia was the most common type of alopecia among both men and women attending specialty hair clinics on four continents.

research Fibrosing Alopecia in a Pattern Distribution in 16 African-Descent and Hispanic Female Patients: A Challenging Diagnosis

13 citations , January 2019 in “Skin appendage disorders”

This study reported that fibrosing alopecia in a pattern distribution can occur in patients of color, with clinical and histopathological features allowing for an accurate differential diagnosis.

research Clinical Study of Fibrosing Alopecia in a Pattern Distribution in a Latin American Population

13 citations , January 2018 in “International Journal of Dermatology”

This clinical study on fibrosing alopecia in a pattern distribution among a Latin American population reports no new results but addresses this specific condition in its demographic context.

Graft Versus Host Disease Presenting as Fibrosing Alopecia in a Pattern Distribution: A Model for Pathophysiological Understanding of Cicatricial Pattern Hair Loss

research Graft Versus Host Disease Presenting as Fibrosing Alopecia in a Pattern Distribution: A Model for Pathophysiological Understanding of Cicatricial Pattern Hair Loss

9 citations , January 2018 in “International Journal of Trichology”

This case report discusses cutaneous graft versus host disease presenting as fibrosing alopecia, suggesting a mechanistic model for understanding cicatricial pattern hair loss.

research A New Subtype of Lichen Planopilaris Affecting Vellus Hairs and Clinically Mimicking Androgenetic Alopecia

9 citations , September 2016 in “Dermatologic Surgery”

This study identified a new subtype of lichen planopilaris that mimics androgenetic alopecia, selectively affecting vellus hair follicles and presenting unique histopathological features.

research Fibrosing Alopecia in a Pattern Distribution

158 citations , February 2000 in “Archives of dermatology”

This study reports that some patients with androgenetic alopecia may also exhibit clinical and histological features of inflammation and fibrosis, similar to those found in lichen planopilaris.

research Retinoids And Hair Growth

19 citations , August 1998 in “Journal of the American Academy of Dermatology”

This review explores the psychological and medical implications of hair loss, suggesting it may indicate a serious systemic disorder, but it does not present new research findings.