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JAMA Clinical Challenge
January 3, 2017

Eyebrow and Eyelash Loss

Author Affiliations
  • 1Department of Dermatology, University of Pennsylvania, Philadelphia
  • 2Drexel College of Medicine, Philadelphia, Pennsylvania
JAMA. 2017;317(1):81-82. doi:10.1001/jama.2016.17688

A 41-year-old man who had immigrated to the United States from Costa Rica 10 years prior presented with a 2-year history of tingling and pain in his hands and feet. He had no other symptoms and reported taking no medications. Findings on skin examination included near-complete loss of eyebrows and eyelashes, a scaly plaque on the right shin, and mild bilateral erythema of the earlobes, distal fingers, and toes (Figure). He also had right axillary and bilateral inguinal lymphadenopathy.