Alopecia Mucinosa. Presented by Samuel J. Zakon, MD, Mark Gendleman, MD.
A 27-year-old white woman had a chronic pruritic eruption, with a patch on the right forearm, that began when she was 4 years old. This enlarged peripherally, with new areas appearing on the right arm, left arm, right buttock, left leg, and both axillae. The symptoms were worse in the summer and flared with sweating. The condition had persisted for 20 years and is unresponsive to topical application of steroids, ultraviolet light, intralesional administration of steroids, lubrication, and administration of antihistamines. Previous diagnoses have included atopic dermatitis, psoriasis, eczema, neurodermatitis, and tinea.Physical findings consisted of several infiltrated plaques with prominent follicles and alopecia, but with minimal scaling and inflammation, over her arms, shoulders, right buttock, and left leg.A complete blood cell count, urinalysis, and chest x-ray film were normal.Several areas were treated with 70 roentgens of
Fretzin DF. CHICAGO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1974;110(4):653-655. doi:10.1001/archderm.1974.01630100095044