Temporal Triangular Alopecia

    January 2023 in “ Indian Dermatology Online Journal
    Ananya Sharma, M Ramam
    TLDR A 23-year-old man has a benign, non-progressive hair loss patch that doesn't respond to treatment but can be cosmetically treated.
    A 23-year-old man presented with a 3 cm × 2 cm patch of hair loss on the left temporal scalp, persisting for 10 years without progression or regrowth. Dermoscopy showed vellus hair and empty follicles, confirming a diagnosis of temporal triangular alopecia (TTA), a benign, non-scarring, non-progressive condition. TTA typically appears in the frontotemporal region and can be congenital or develop in early childhood or adulthood. It is important to correctly diagnose TTA to avoid unnecessary treatments, as it remains unchanged throughout life. Cosmetic options include follicular unit transplantation or surgical excision for smaller lesions.
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