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July 1938


Arch Derm Syphilol. 1938;38(1):136-142. doi:10.1001/archderm.1938.01480130139019

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Atrophia Pilorum. Presented by Dr. N. N. Epstein and Dr. E. A. Levin.  This patient, a white man aged 23, a clerk, first noticed two and one-half years ago that the hair about the frontal and the parietal region was breaking off, leaving a patch of sparse "stubble," and that the hair was dry. At times the process has been quiescent and the hair has tended to regrow.Microscopic examination of a hair showed a splitting of the shaft and a tufted, bushlike effect at the broken end. The root appeared atrophic. There was no evidence of ringworm.The patient has been examined by an internist for a possible endocrine disturbance, but none was noted. The basal metabolic rate is +6 per cent. A blood count and urinalysis showed no abnormality. A culture on Sabouraud's medium showed no organisms.

DISCUSSION  (All members apparently agreed with the diagnosis.)

Alopecia Areata 

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