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October 1966


Arch Dermatol. 1966;94(4):515-519. doi:10.1001/archderm.1966.01600280133022

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Alopecia Totalis. Lichen Sclerosus et Atrophicus (Response to DMSO/Fluocinolone Acetonide [Synalar]). Presented by Samuel Ayres, Jr., MD and Richard Mihan, MD.  The patient is a 19-year-old white female, single, clerk-typist.

Present Illness.—  (A) Alopecia universalis, complete loss of hair for seven months. The patient was under considerable nervous and emotional tension at the time of onset. Her loss began with bald patches which became confluent. Three months after onset, her loss was complete.The patient's sister at age of 9 or 10 had bald spots which lasted several months but she recovered completely.The patient had elsewhere received injections of vitamin B and ultraviolet light to the scalp without any effect. A complete physical examination in November of 1964 was said to have shown no abnormalities except for the skin condition.Examination revealed a total alopecia, including the scalp, eyebrows, axillary, and pubic hair, except for a very few scattered

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