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March 1997

Cicatricial Alopecia and Keratosis Pilaris

Author Affiliations

The University of Arizona Health Sciences Center, Tucson

Arch Dermatol. 1997;133(3):381-382. doi:10.1001/archderm.1997.03890390121018

REPORT OF A CASE  A 9-year-old Hispanic boy was referred for evaluation of scarring alopecia of his scalp. Since birth, he had been noted to have dry, scaling scalp, which had been diagnosed as seborrheic dermatitis. His mother also reported that since birth the boy had no hair on the vertex of his scalp or on the lateral aspect of his eyebrows and that he had always had fine, sparse eyelashes. Follicular keratotic papules of face, trunk, and extremities associated with generalized pruritus were noted when the boy was approximately 5 years old. He was diagnosed as having atopic dermatitis and keratosis pilaris and given triamcinolone for symptomatic relief.Over the years, he has had recurrent flares of pustular folliculitis. On each occasion, the pustules resolved with a course of systemic antibiotics, only to recur after the antibiotic therapy was discontinued. Physical examination revealed a healthy-appearing young boy. The scalp

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