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Bilateral Localized Scleroderma en Coup de Sabre. Presented by H. A. Luscombe, MD, and M. Piccuta, MD.
This 32-year-old white woman was examined in 1964 because of loss of hair and irritation of the scalp over a period of two years. She showed small irregular areas of redness and scaling of the scalp, mainly of the crown, with atrophy in the center of several patches. A biopsy specimen of the scalp was interpreted as "chronic dermatitis consistent with lupus erythematosus." For the next 18 months the patient was given antimalarials, at first chloroquine and later, hydroxychloroquine sulfate (Plaquenil). The inflammatory eruption slowly disappeared. Over the next few years, the atrophy of the scalp progressed in a linear fashion on both sides of the scalp, extending forward to the front, eventually producing a horseshoe-shaped area of complete hair loss. The hair was also lost from the outer aspects of the eyebrows
Goldschmidt H. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Dermatol. 1973;107(1):129. doi:10.1001/archderm.1973.01620160093031