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July 1966


Arch Dermatol. 1966;94(1):99-103. doi:10.1001/archderm.1966.01600250105024

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Alopecia Mucinosa. Presented by Irving A. Lewe, MD.  The patient, a 12-year-old white boy, was seen by me on Dec 21, 1965. He first noticed rough patches on the extensor surfaces of the elbows and knees in June 1965, following which the eruption spread to other parts of his body. Loss of hair on the back of the scalp and on the moustache area became apparent in October 1965 and on the temples more recently.

Findings.—  Examination of the skin revealed numerous, coin to palm-sized plaques, composed of tiny, discrete, slightly reddish, acuminate, follicular papules, topped by a central hyperkeratotic scale giving a nutmeg grater feel on palpation. These were distributed on the suboccipital scalp, the temples, the posterior surface and sides of the neck, the shoulders, torso, buttocks, hips, and thighs. On the extensor surfaces of the elbows and knees, and to a slight extent in

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