case_images: PMC5465727_01
case_images: a Multiple scaly erythematous alopecic plaques on the frontal and both parietal regions of the scalp. b Dermoscopic examination (x20) showed decreased hair density, increased vellus hair follicles, diffuse white scales, and patchy dotted vessels (red circles).
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case_images: PMC5465727_01_cde-0009-0051-g01.jpg
case_images: f1
case_images: Physical examination showed multiple scaly erythematous alopecic plaques on the frontal and both parietal regions of the scalp (Fig. 1a). Dermoscopic evaluation showed decreased hair density, increased vellus hairs, diffuse white scales, and numerous groups of dotted vessels distributed on the scalp (Fig. 1b).
case_images: Histopathologic findings included superficial perivascular infiltration mainly composed of neutrophils, psoriasiform epidermal hyperplasia, parakeratosis, decreased number of terminal hair, and sebaceous gland atrophy (HE, x40).
case_images: cde-0009-0051-g02.jpg
case_images: PMC5465727_01_cde-0009-0051-g02.jpg
case_images: f2
case_images: Histopathologic findings included superficial perivascular infiltration mainly composed of neutrophils, psoriasiform epidermal hyperplasia, parakeratosis, dilated tortuous blood vessels, decreased number of terminal hair, and sebaceous gland atrophy (Fig. 2).
case_images: a Significant improvement in terms of decreased scalp inflammation and stabilization of hair loss after 3 weeks of treatment. b The patient achieved 75% hair regrowth at 3 months after treatment.
case_images: cde-0009-0051-g03.jpg
case_images: PMC5465727_01_cde-0009-0051-g03.jpg
case_images: f3
case_images: After 3 weeks of treatment, she reported significant improvement in reduction of scales and stabilization of hair shedding (Fig. 3a). She achieved 75% hair regrowth by 3 months after therapy and had no recurrence of alopecia at the 1-year follow-up (Fig. 3b).