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April 1984

Alopecia Areata in an Area of Hair Transplantation

Author Affiliations

American Dermatologists' Medical Group Inc 4322 Wilshire Blvd Los Angeles, CA 90010

Arch Dermatol. 1984;120(4):435. doi:10.1001/archderm.1984.01650400017001

To the Editor.—  Alopecia areata (AA) is probably a disease involving immune mechanisms.1 This letter concerns a patient with AA that developed simultaneously in a hair transplantation site and in an area adjacent to the donor site.

Report of a Case.—  A 46-year-old man successfully underwent hair transplantation of 200 grafts during four sessions. At the time of hair transplantation, results of an automated 12-item sequential multiple analysis system, complete blood cell count, VDRL, thyroxine level, and routine urinalysis were normal and were not repeated. Two years later, the patient returned because of hair loss of two months' duration. Otherwise, the patient was in excellent health and was unaware of notable emotional trauma. He had no history of AA; the family history was normal. Two coin-sized areas of hair loss, one in the left frontal transplanted area of the scalp and the other in the lower part of the

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