Scarring Alopecia and Scalp Pruritus

    November 2022 in “ JAAD case reports
    C. C. Barker, Emily Nyers, Chelsea Kramish, Jane Scribner
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    TLDR The text talks about a rare skin condition causing hair loss and suggests that people with this should also check their lung and heart health.
    The document discusses a case of scarring alopecia, a rare presentation of cutaneous sarcoidosis. The diagnosis was confirmed through the presence of non-caseating granulomas on histopathology, a characteristic of cutaneous sarcoidosis. The patient's symptoms included scarring alopecia in the setting of uveitis. The document suggests that further workup for such patients should include pulmonary function testing, as sarcoidosis of the scalp is a manifestation of a systemic disease, and all patients with sarcoidosis should receive a pulmonary and cardiac evaluation.
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      Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

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