Diagnosis: Postoperative Pressure Alopecia. Presented by Dr. George M. Lewis for Dr. Robert Abel.
The New York Hospital.
A 5-year-old boy fell two stories and landed on his head on May 20, 1959. He suffered a laceration, concussion, and a cerebrospinal fluid fistula with cerebrospinal fluid rhinorrhea. On July 13, 1959 he underwent a five and one-half-hour right frontal craniotomy in the supine position. The defect was successfully repaired. Twelve days postoperatively the hair over the left occiput began to fall. The defluvium lasted two days. A 5 cm. patch of total alopecia resulted and has persisted up to the present time.
There is an irregularly-shaped oval area of complete alopecia over the left occiput. Some early regrowth is barely visible. No fluorescence was observed from a Wood's light examination. Over the right frontal area is an irregular
Sobel N, Kesten BM. NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY. AMA Arch Derm. 1960;81(6):1027–1033. doi:10.1001/archderm.1960.03730060143035
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: