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
”
fibrosing alopecia in a pattern distribution trichoscopy biopsy hair shaft variability perifollicular erythema loss of follicular ostia casts lymphohistiocytic infiltrate interface dermatitis clobetasol propionate oral minoxidil koebnerization FAPD hair biopsy hair shaft changes follicular redness follicle loss hair casts inflammatory infiltrate skin inflammation clobetasol oral Rogaine
TLDR A 47-year-old man was diagnosed with a specific type of hair loss and advised to use certain medications and avoid hair transplants.
A 47-year-old man with symmetrical hair loss and itching was diagnosed with fibrosing alopecia in a pattern distribution (FAPD) after trichoscopy and biopsy. The diagnosis was supported by findings of hair shaft variability, perifollicular erythema, loss of follicular ostia, casts, and a lymphohistiocytic infiltrate with interface dermatitis. He was advised to use clobetasol propionate solution and oral minoxidil for treatment and to avoid hair transplantation due to the risk of koebnerization.
